| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.99 | $896.00 | $4,069.00 | |
Aetna
| Professional | $2.27 | $7.55 | $89.42 | |
Aetna
| Professional | 52 | $0.87 | $2.52 | $3.78 |
Ambetter
| Professional | $4.86 | $6.23 | $8.30 | |
BCBS
| Facility | $108.00 | $147.00 | $617.00 | |
BCBS
| Professional | $2.13 | $5.55 | $10.08 | |
Cigna
| Professional | $2.16 | $6.00 | $12.94 | |
Lucent Health
| Facility | $17.87 | $17.87 | $55.00 | |
Lucent Health
| Professional | $67.00 | $185.90 | $185.90 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 | |
United
| Professional | $5.53 | $7.23 | $15.65 |