| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $120.23 | $138.04 | |
Aetna
| Professional | $102.33 | $128.82 | $177.83 | |
Ambetter
| Professional | $112.20 | $120.23 | $190.55 | |
BCBS
| Professional | $107.15 | $154.88 | $269.15 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $112.20 | $158.49 | $288.40 | |
Lucent Health
| Facility | $794.33 | $794.33 | $794.33 | |
Lucent Health
| Professional | $794.33 | $1,071.52 | $1,071.52 | |
Optum
| Professional | $95.50 | $102.33 | $154.88 | |
United
| Professional | $112.20 | $151.36 | $245.47 |