| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $8.91 | |
Aetna
| Professional | $87.10 | $138.04 | $302.00 | |
Ambetter
| Professional | $104.71 | $131.83 | $169.82 | |
BCBS
| Professional | $97.72 | $147.91 | $234.42 | |
Cigna
| Facility | $89.13 | $151.36 | $151.36 | |
Cigna
| Professional | $97.72 | $138.04 | $223.87 | |
Lucent Health
| Facility | $630.96 | $630.96 | $630.96 | |
Lucent Health
| Professional | $181.97 | $851.14 | $851.14 | |
United
| Professional | $89.13 | $128.82 | $204.17 |