| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.76 | $145.50 | $264.08 | |
Ambetter
| Professional | $125.82 | $158.09 | $223.51 | |
BCBS
| Professional | $117.55 | $166.97 | $261.32 | |
Cigna
| Facility | $106.76 | $163.28 | $163.28 | |
Cigna
| Professional | $125.06 | $178.68 | $270.29 | |
Lucent Health
| Facility | $551.02 | $596.98 | $596.98 | |
Lucent Health
| Professional | $778.92 | $1,021.95 | $1,021.95 | |
United
| Professional | $136.27 | $172.90 | $285.20 |