| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.68 | $65.95 | $65.95 | |
Aetna
| Professional | $64.58 | $65.95 | $113.31 | |
BCBS
| Professional | $90.71 | $137.02 | $137.02 | |
Cigna
| Facility | $78.98 | $98.15 | $98.15 | |
Cigna
| Professional | $71.65 | $71.65 | $98.15 | |
Lucent Health
| Facility | $205.52 | $705.18 | $705.18 | |
Lucent Health
| Professional | $762.34 | $762.34 | $1,108.58 | |
United
| Professional | $50.63 | $75.95 | $113.70 |