| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.50 | $49.50 | $105.75 | |
Aetna
| Professional | $49.50 | $49.50 | $59.90 | |
Ambetter
| Professional | $50.00 | $50.00 | $50.00 | |
BCBS
| Professional | $38.79 | $38.79 | $38.79 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Lucent Health
| Facility | $39.97 | $90.00 | $100.00 | |
United
| Professional | $43.54 | $43.54 | $52.10 |