| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.82 | $23.51 | $31.67 | |
Aetna
| Professional | 50 | $108.05 | $108.05 | $108.05 |
Ambetter
| Professional | $19.10 | $24.98 | $43.40 | |
BCBS
| Professional | $16.76 | $25.93 | $51.16 | |
Cigna
| Professional | $19.73 | $27.92 | $53.60 | |
Lucent Health
| Professional | $140.87 | $153.85 | $201.90 | |
United
| Professional | $17.93 | $23.06 | $30.74 |