| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.12 | $452.05 | $1,049.08 | |
Aetna
| Professional | $162.90 | $254.12 | $309.51 | |
Ambetter
| Professional | $280.49 | $280.49 | $280.49 | |
BCBS
| Professional | $81.68 | $156.22 | $325.80 | |
Cigna
| Facility | $154.26 | $652.61 | $1,021.53 | |
Cigna
| Professional | $71.19 | $171.15 | $479.28 | |
Lucent Health
| Facility | $528.49 | $1,547.55 | $1,547.55 | |
United
| Facility | $142.69 | $293.22 | $325.80 | |
United
| Professional | $78.70 | $136.84 | $325.80 |