| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.22 | $139.52 | $449.00 | |
Aetna
| Professional | $96.22 | $101.35 | $139.52 | |
Ambetter
| Professional | $64.15 | $64.15 | $314.24 | |
BCBS
| Professional | $91.51 | $142.54 | $331.70 | |
Cigna
| Facility | $83.39 | $321.49 | $496.65 | |
Cigna
| Professional | $58.46 | $94.96 | $292.61 | |
Lucent Health
| Facility | $223.22 | $609.38 | $609.38 | |
Lucent Health
| Professional | $641.45 | $641.45 | $962.18 | |
United
| Professional | $53.88 | $96.02 | $189.24 |