| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.79 | $100.79 | $199.56 | |
Aetna
| Professional | $97.14 | $100.79 | $100.79 | |
BCBS
| Professional | $118.46 | $118.46 | $118.46 | |
Cigna
| Professional | $11.82 | $11.82 | $11.82 | |
Lucent Health
| Facility | $115.36 | $734.60 | $734.60 | |
United
| Professional | $101.19 | $101.19 | $103.22 |