| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.71 | $89.06 | $206.69 | |
Aetna
| Professional | $42.69 | $50.07 | $57.13 | |
Ambetter
| Professional | $96.95 | $96.95 | $96.95 | |
BCBS
| Professional | $28.23 | $53.99 | $64.19 | |
Cigna
| Facility | $41.72 | $137.99 | $200.92 | |
Cigna
| Professional | $24.44 | $34.02 | $94.23 | |
Lucent Health
| Facility | $102.70 | $304.89 | $304.89 | |
United
| Professional | $25.68 | $32.35 | $64.19 |