| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.63 | $369.74 | $369.74 | |
Aetna
| Professional | $362.63 | $369.74 | $635.21 | |
BCBS
| Professional | $508.49 | $768.10 | $768.10 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $528.74 | |
Lucent Health
| Facility | $1,342.67 | $4,189.10 | $4,467.28 | |
Lucent Health
| Professional | $4,528.81 | $4,528.81 | $6,015.15 | |
United
| Professional | $283.85 | $425.77 | $602.86 |