| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $323.59 | $489.78 | |
Aetna
| Professional | $95.50 | $134.90 | $288.40 | |
Ambetter
| Professional | $28.84 | $75.86 | $141.25 | |
BCBS
| Professional | $74.13 | $141.25 | $173.78 | |
Cigna
| Facility | $93.33 | $338.84 | $501.19 | |
Cigna
| Professional | $64.57 | $95.50 | $281.84 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $707.95 | $1,071.52 | $1,071.52 | |
United
| Facility | $63.10 | $141.25 | $141.25 | |
United
| Professional | $60.26 | $89.13 | $177.83 |