| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.51 | $58.78 | $4,700.00 | |
Aetna
| Professional | $27.99 | $34.56 | $58.28 | |
Ambetter
| Professional | $21.17 | $36.06 | $59.08 | |
BCBS
| Professional | $29.18 | $41.11 | $65.45 | |
Cigna
| Facility | $33.47 | $84.14 | $97.32 | |
Cigna
| Professional | $29.85 | $45.47 | $72.62 | |
Lucent Health
| Facility | $67.88 | $147.69 | $147.69 | |
Lucent Health
| Professional | $324.60 | $324.60 | $324.60 | |
United
| Professional | $28.43 | $38.22 | $69.92 |