| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $204.17 | $398.11 | |
Aetna
| Professional | $26.92 | $61.66 | $100.00 | |
Ambetter
| Professional | $74.13 | $74.13 | $74.13 | |
BCBS
| Professional | $38.90 | $38.90 | $79.43 | |
Cigna
| Facility | $25.12 | $112.20 | $245.47 | |
Cigna
| Professional | $17.38 | $36.31 | $114.82 | |
Lucent Health
| Facility | $371.54 | $371.54 | $371.54 | |
United
| Facility | $23.99 | $39.81 | $79.43 | |
United
| Professional | $16.60 | $33.11 | $57.54 |