| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $93.33 | $363.08 | |
Aetna
| Professional | $75.86 | $89.13 | $131.83 | |
BCBS
| Professional | $63.10 | $114.82 | $114.82 | |
Cigna
| Facility | $51.29 | $147.91 | $323.59 | |
Cigna
| Professional | $54.95 | $131.83 | $173.78 | |
Lucent Health
| Facility | $549.54 | $549.54 | $549.54 | |
United
| Facility | $40.74 | $69.18 | $114.82 | |
United
| Professional | $40.74 | $69.18 | $114.82 |