| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.04 | $114.00 | $207.88 | |
Ambetter
| Professional | $103.25 | $154.40 | $183.42 | |
BCBS
| Professional | $92.64 | $134.18 | $209.92 | |
Cigna
| Facility | $79.62 | $130.94 | $130.94 | |
Cigna
| Professional | $99.38 | $142.61 | $219.88 | |
Lucent Health
| Facility | $442.03 | $478.90 | $478.90 | |
Lucent Health
| Professional | $623.77 | $842.92 | $842.92 | |
Optum
| Professional | $105.00 | $144.46 | $190.30 | |
United
| Professional | $111.45 | $139.52 | $233.25 |