| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.31 | $159.31 | $174.06 | |
Aetna
| Professional | $150.21 | $164.32 | $298.18 | |
BCBS
| Professional | $210.98 | $318.69 | $318.69 | |
Cigna
| Facility | $212.98 | $212.98 | $212.98 | |
Cigna
| Professional | $155.47 | $155.47 | $212.98 | |
Lucent Health
| Facility | $553.28 | $1,640.11 | $1,640.11 | |
Lucent Health
| Professional | $1,773.08 | $1,773.08 | $2,578.35 | |
United
| Professional | $117.77 | $169.28 | $236.45 |