| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.72 | $88.60 | $125.62 | |
Aetna
| Professional | $26.32 | $28.07 | $44.66 | |
Ambetter
| Professional | $17.55 | $17.55 | $21.05 | |
BCBS
| Professional | $26.32 | $47.76 | $66.67 | |
Cigna
| Facility | $23.27 | $88.22 | $135.44 | |
Cigna
| Professional | $15.96 | $25.97 | $80.34 | |
Lucent Health
| Facility | $61.06 | $85.97 | $166.68 | |
Lucent Health
| Professional | $175.45 | $175.45 | $263.18 | |
United
| Professional | $14.74 | $28.66 | $55.13 |