| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.27 | $73.27 | $80.06 | |
Aetna
| Professional | $71.92 | $74.63 | $131.54 | |
BCBS
| Professional | $97.04 | $146.58 | $146.58 | |
Cigna
| Facility | $117.36 | $117.36 | $117.36 | |
Cigna
| Professional | $85.67 | $85.67 | $117.36 | |
Lucent Health
| Facility | $254.48 | $791.34 | $889.01 | |
Lucent Health
| Professional | $898.37 | $898.37 | $1,252.65 | |
United
| Professional | $54.17 | $79.56 | $113.43 |