| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.43 | $235.86 | $280.08 | |
Aetna
| Professional | $218.66 | $219.82 | $280.62 | |
Ambetter
| Professional | $63.00 | $63.00 | $63.00 | |
Cigna
| Facility | $241.37 | $241.37 | $241.37 | |
Cigna
| Professional | $241.37 | $241.37 | $241.37 | |
Lucent Health
| Facility | $245.68 | $517.22 | $890.51 | |
United
| Professional | $215.51 | $215.51 | $258.61 |