| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.47 | $184.25 | $236.39 | |
Aetna
| Professional | $133.46 | $133.47 | $161.50 | |
Ambetter
| Professional | $400.41 | $400.41 | $400.41 | |
BCBS
| Professional | $140.50 | $140.50 | $140.50 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
Lucent Health
| Facility | $144.81 | $281.00 | $526.88 | |
United
| Professional | $117.08 | $117.08 | $140.50 |