| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.25 | $404.13 | $448.97 | |
BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $829.27 | $829.27 | $829.27 |