| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.52 | $198.42 | $520.41 | |
Aetna
| Professional | $188.59 | $212.68 | $314.26 | |
Ambetter
| Professional | $185.90 | $185.90 | $287.12 | |
BCBS
| Professional | $190.36 | $271.42 | $413.49 | |
Cigna
| Professional | $201.25 | $271.08 | $483.54 | |
Lucent Health
| Facility | $920.42 | $1,002.77 | $1,002.77 | |
Lucent Health
| Professional | $1,273.63 | $1,299.72 | $1,693.73 | |
United
| Professional | $194.36 | $251.39 | $477.62 |