| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.96 | $171.96 | $300.93 | |
Aetna
| Professional | $134.90 | $171.96 | $171.96 | |
BCBS
| Professional | $242.44 | $242.44 | $242.44 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $354.90 | $354.90 | $354.90 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $491.40 | $491.40 | $491.40 |