| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $37.15 | $74.13 | |
Aetna
| Professional | $30.90 | $39.81 | $58.88 | |
Aetna
| Professional | 25 | $7.76 | $7.76 | $7.76 |
Ambetter
| Professional | $35.48 | $35.48 | $37.15 | |
Cigna
| Professional | $38.02 | $61.66 | $77.62 | |
Lucent Health
| Facility | $100.00 | $269.15 | $269.15 | |
United
| Facility | $28.18 | $28.18 | $40.74 | |
United
| Professional | $35.48 | $47.86 | $87.10 |