| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.74 | $299.74 | $614.47 | |
Aetna
| Professional | $299.74 | $299.74 | $483.12 | |
Ambetter
| Professional | $199.60 | $199.60 | $199.60 | |
BCBS
| Professional | $134.94 | $194.23 | $303.72 | |
Cigna
| Professional | $49.95 | $659.10 | $1,182.08 | |
Lucent Health
| Professional | $1,288.00 | $1,288.00 | $1,288.00 |