| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.77 | $167.28 | $632.00 | |
Ambetter
| Professional | $99.70 | $128.59 | $180.02 | |
BCBS
| Professional | $117.88 | $160.11 | $259.93 | |
Cigna
| Professional | $124.90 | $167.63 | $301.82 | |
Lucent Health
| Professional | $907.92 | $907.92 | $1,044.08 | |
United
| Professional | $120.32 | $154.75 | $261.68 |