| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $112.20 | $154.88 | |
Aetna
| Professional | $93.33 | $112.20 | $169.82 | |
BCBS
| Professional | $74.13 | $141.25 | $141.25 | |
Cigna
| Facility | $63.10 | $295.12 | $512.86 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $707.95 | $1,071.52 | $1,071.52 | |
United
| Facility | $51.29 | $141.25 | $141.25 | |
United
| Professional | $60.26 | $85.11 | $141.25 |