| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $158.49 | $338.84 | |
Ambetter
| Professional | $131.83 | $162.18 | $218.78 | |
BCBS
| Professional | $120.23 | $181.97 | $288.40 | |
Cigna
| Facility | $107.15 | $190.55 | $190.55 | |
Cigna
| Professional | $123.03 | $169.82 | $275.42 | |
Lucent Health
| Facility | $776.25 | $776.25 | $776.25 | |
Lucent Health
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
United
| Professional | $109.65 | $158.49 | $251.19 |