| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $401.85 | |
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
BCBS
| Professional | $227.25 | $227.25 | $227.25 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $549.90 | $549.90 | $549.90 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $761.40 | $761.40 | $761.40 |