| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.18 | $853.38 | $1,579.20 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
BCBS
| Professional | $587.28 | $587.28 | $587.28 | |
Cigna
| Professional | $360.74 | $360.74 | $360.74 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |