| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.25 | $86.41 | $101.66 | |
Aetna
| Professional | $69.30 | $91.15 | $133.06 | |
Ambetter
| Professional | $64.22 | $72.25 | $89.90 | |
BCBS
| Professional | $56.81 | $84.97 | $156.59 | |
Cigna
| Professional | $72.00 | $102.00 | $175.94 | |
Lucent Health
| Facility | $340.61 | $340.61 | $363.90 | |
Lucent Health
| Professional | $488.59 | $633.97 | $774.23 | |
Optum
| Professional | $90.49 | $112.07 | $185.53 | |
United
| Professional | $89.17 | $115.46 | $204.13 |