| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.48 | $91.48 | $99.95 | |
Aetna
| Professional | $89.79 | $96.56 | $171.22 | |
BCBS
| Professional | $121.15 | $183.01 | $183.01 | |
Cigna
| Facility | $103.73 | $112.67 | $112.67 | |
Cigna
| Professional | $82.25 | $82.25 | $112.67 | |
Lucent Health
| Facility | $317.70 | $939.42 | $939.42 | |
Lucent Health
| Professional | $1,006.48 | $1,006.48 | $1,479.83 | |
United
| Professional | $67.63 | $97.45 | $135.50 |