| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $263.03 | $630.96 | |
Aetna
| Professional | $25.12 | $45.71 | $85.11 | |
Ambetter
| Professional | $20.89 | $41.69 | $51.29 | |
BCBS
| Professional | $25.12 | $41.69 | $60.26 | |
Cigna
| Professional | $13.49 | $29.51 | $83.18 | |
Lucent Health
| Facility | $169.82 | $169.82 | $169.82 | |
Lucent Health
| Facility | AS | $16.98 | $16.98 | $16.98 |
Lucent Health
| Professional | $316.23 | $426.58 | $426.58 | |
United
| Professional | $24.55 | $38.02 | $48.98 |