| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.41 | $94.41 | $103.16 | |
Aetna
| Professional | $90.17 | $97.39 | $176.71 | |
BCBS
| Professional | $125.03 | $188.87 | $188.87 | |
Cigna
| Facility | $108.89 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $147.05 | |
Lucent Health
| Facility | $327.90 | $981.02 | $981.02 | |
Lucent Health
| Professional | $1,050.93 | $1,050.93 | $1,554.00 | |
United
| Professional | $69.80 | $101.41 | $141.00 |