| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.79 | $140.26 | $263.30 | |
Ambetter
| Professional | $89.40 | $138.69 | $243.42 | |
BCBS
| Professional | $108.07 | $153.10 | $241.11 | |
Cigna
| Facility | $97.55 | $152.08 | $152.08 | |
Cigna
| Professional | $116.10 | $166.25 | $249.48 | |
Lucent Health
| Facility | $513.16 | $555.89 | $555.89 | |
Lucent Health
| Professional | $725.74 | $944.96 | $944.96 | |
Optum
| Professional | $105.00 | $162.52 | $199.11 | |
United
| Professional | $125.30 | $162.52 | $280.42 |