| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $380.19 | $870.96 | |
Aetna
| Professional | $165.96 | $213.80 | $524.81 | |
Ambetter
| Professional | $117.49 | $131.83 | $562.34 | |
BCBS
| Professional | $138.04 | $263.03 | $288.40 | |
Cigna
| Facility | $169.82 | $588.84 | $831.76 | |
Cigna
| Professional | $117.49 | $165.96 | $446.68 | |
Lucent Health
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Lucent Health
| Professional | $1,318.26 | $1,995.26 | $1,995.26 | |
United
| Facility | $104.71 | $263.03 | $263.03 | |
United
| Professional | $109.65 | $158.49 | $288.40 |