| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.00 | $325.00 | $406.25 | |
Ambetter
| Professional | $108.04 | $228.02 | $373.12 | |
BCBS
| Professional | $226.18 | $463.98 | $777.12 | |
Lucent Health
| Facility | $909.44 | $2,613.82 | $2,613.82 | |
Lucent Health
| Professional | $1,779.80 | $1,779.80 | $1,779.80 | |
United
| Professional | $341.69 | $432.17 | $701.37 |