| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.39 | $320.39 | $560.70 | |
Aetna
| Professional | $253.18 | $320.39 | $320.39 | |
BCBS
| Professional | $172.20 | $172.20 | $172.20 | |
Cigna
| Facility | $247.20 | $247.20 | $247.20 | |
Cigna
| Professional | $205.76 | $205.76 | $205.76 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $284.89 | $284.89 | $284.89 |