| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $91.20 | $107.15 | |
Aetna
| Professional | $72.44 | $95.50 | $354.81 | |
Ambetter
| Professional | $70.79 | $89.13 | $125.89 | |
BCBS
| Professional | $69.18 | $102.33 | $190.55 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $70.79 | $102.33 | $162.18 | |
Lucent Health
| Facility | $489.78 | $489.78 | $489.78 | |
Lucent Health
| Professional | $630.96 | $776.25 | $776.25 | |
Optum
| Professional | $91.20 | $112.20 | $158.49 | |
United
| Professional | $79.43 | $107.15 | $169.82 |