| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.30 | $35.13 | $46.83 | |
Aetna
| Professional | $23.95 | $37.00 | $52.78 | |
Aetna
| Professional | 25 | $85.57 | $85.57 | $85.57 |
Ambetter
| Professional | $37.57 | $50.09 | $81.47 | |
BCBS
| Professional | $21.96 | $35.32 | $61.49 | |
Cigna
| Professional | $35.59 | $52.50 | $83.53 | |
Lucent Health
| Facility | $193.75 | $193.75 | $209.24 | |
Lucent Health
| Professional | $254.57 | $311.22 | $321.17 | |
Optum
| Professional | $47.80 | $52.01 | $68.70 | |
United
| Professional | $41.19 | $52.80 | $90.91 |