| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $75.86 | $75.86 | |
Aetna
| Professional | $63.10 | $66.07 | $125.89 | |
Ambetter
| Professional | $48.98 | $52.48 | $61.66 | |
BCBS
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Lucent Health
| Facility | $223.87 | $223.87 | $223.87 | |
United
| Professional | $63.10 | $64.57 | $79.43 |