| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.17 | $74.56 | $173.19 | |
Aetna
| Professional | $37.28 | $48.46 | $73.83 | |
Ambetter
| Professional | $50.86 | $80.31 | $95.42 | |
BCBS
| Professional | $42.20 | $61.59 | $98.27 | |
Cigna
| Facility | $65.06 | $113.34 | $164.76 | |
Cigna
| Professional | $45.88 | $66.03 | $117.02 | |
Lucent Health
| Facility | $181.68 | $192.57 | $192.57 | |
Lucent Health
| Professional | $245.25 | $312.52 | $432.68 | |
United
| Facility | $294.00 | $808.00 | $2,495.00 | |
United
| Professional | $49.56 | $62.89 | $115.82 |