| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $1,685.99 | $3,230.00 | |
Aetna
| Professional | $99.93 | $226.15 | $435.32 | |
Ambetter
| Professional | $99.03 | $173.90 | $417.13 | |
BCBS
| Facility | $764.00 | $1,504.00 | $2,330.00 | |
BCBS
| Professional | $117.31 | $241.73 | $453.19 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $121.70 | $243.31 | $423.30 | |
Lucent Health
| Facility | $55.00 | $529.39 | $529.39 | |
Lucent Health
| Professional | $970.38 | $1,870.48 | $2,168.69 | |
United
| Facility | $719.00 | $1,560.00 | $2,914.00 | |
United
| Professional | $159.59 | $284.60 | $510.95 |