| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $67.61 | |
Aetna
| Professional | $21.88 | $52.48 | $83.18 | |
Ambetter
| Professional | $104.71 | $104.71 | $109.65 | |
BCBS
| Professional | $66.07 | $75.86 | $112.20 | |
Lucent Health
| Facility | $245.47 | $245.47 | $245.47 | |
Lucent Health
| Professional | $245.47 | $245.47 | $245.47 | |
United
| Professional | $64.57 | $75.86 | $117.49 |