| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.25 | $578.29 | $1,492.07 | |
Aetna
| Professional | $312.58 | $325.08 | $395.94 | |
Ambetter
| Professional | $19.00 | $19.00 | $19.00 | |
BCBS
| Professional | $297.29 | $550.15 | $1,086.27 | |
Cigna
| Facility | $341.73 | $918.83 | $1,613.00 | |
Cigna
| Professional | $189.84 | $311.50 | $955.19 | |
Lucent Health
| Facility | $725.20 | $1,021.11 | $1,979.71 | |
Lucent Health
| Professional | $2,083.90 | $2,083.90 | $3,125.85 | |
United
| Professional | $175.05 | $285.86 | $571.72 |