| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.00 | $120.00 | $230.00 | |
Ambetter
| Professional | $94.40 | $125.20 | $195.23 | |
BCBS
| Professional | $89.00 | $127.50 | $199.22 | |
Cigna
| Facility | $79.62 | $124.66 | $124.66 | |
Cigna
| Professional | $94.73 | $135.29 | $202.42 | |
Lucent Health
| Facility | $395.98 | $455.57 | $455.57 | |
Lucent Health
| Professional | $592.04 | $785.23 | $785.23 | |
United
| Professional | $103.94 | $131.74 | $218.29 |