| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $70.79 | $114.82 | |
Aetna
| Professional | $63.10 | $75.86 | $125.89 | |
BCBS
| Professional | $109.65 | $109.65 | $114.82 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $74.13 | $74.13 | $100.00 | |
Lucent Health
| Facility | $870.96 | $870.96 | $870.96 | |
Lucent Health
| Professional | $954.99 | $1,096.48 | $1,096.48 | |
United
| Facility | $45.71 | $72.44 | $91.20 | |
United
| Professional | $47.86 | $70.79 | $102.33 |