| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.05 | $92.39 | $206.03 | |
Aetna
| Professional | $37.36 | $37.36 | $44.01 | |
Ambetter
| Professional | $39.00 | $39.00 | $39.00 | |
Cigna
| Facility | $47.32 | $47.32 | $47.32 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
Lucent Health
| Facility | $47.37 | $147.79 | $147.79 | |
United
| Professional | $42.25 | $42.25 | $50.70 |