| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $45.71 | $53.70 | |
Aetna
| Professional | $30.90 | $48.98 | $67.61 | |
Ambetter
| Professional | $35.48 | $35.48 | $43.65 | |
Ambetter
| Professional | 25 | $41.69 | $41.69 | $41.69 |
Cigna
| Professional | $35.48 | $53.70 | $93.33 | |
Lucent Health
| Facility | $338.84 | $338.84 | $338.84 | |
United
| Professional | $42.66 | $54.95 | $107.15 |