| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.48 | $510.48 | $557.74 | |
Aetna
| Professional | $489.71 | $510.48 | $955.47 | |
BCBS
| Professional | $676.04 | $1,021.19 | $1,021.19 | |
Cigna
| Facility | $492.22 | $632.51 | $632.51 | |
Cigna
| Professional | $461.73 | $461.73 | $632.51 | |
Lucent Health
| Facility | $1,695.61 | $4,802.66 | $4,802.66 | |
Lucent Health
| Professional | $5,555.28 | $5,555.28 | $8,680.12 | |
United
| Professional | $377.38 | $538.66 | $692.00 |