| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.65 | $64.65 | $120.90 | |
Aetna
| Professional | $63.50 | $75.79 | $168.58 | |
Ambetter
| Professional | $56.74 | $56.74 | $56.74 | |
BCBS
| Professional | $58.74 | $102.99 | $156.05 | |
Cigna
| Facility | $76.59 | $83.14 | $120.24 | |
Cigna
| Professional | $65.06 | $94.86 | $154.47 | |
Lucent Health
| Facility | $161.77 | $378.15 | $378.15 | |
Lucent Health
| Professional | $484.57 | $484.57 | $601.65 | |
United
| Professional | $73.23 | $89.99 | $154.30 |