| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $30.90 | $44.67 | |
Aetna
| Professional | $21.88 | $21.88 | $26.92 | |
Ambetter
| Professional | $18.62 | $21.88 | $22.39 | |
Cigna
| Facility | $21.88 | $21.88 | $21.88 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $21.88 | $22.91 | $26.92 | |
United
| Professional | $19.95 | $20.42 | $23.99 |