| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.06 | $67.94 | $146.30 | |
Aetna
| Professional | $41.60 | $78.08 | $129.25 | |
Aetna
| Professional | 25 | $145.34 | $145.34 | $145.34 |
Ambetter
| Professional | $104.18 | $104.18 | $122.84 | |
BCBS
| Professional | $66.55 | $103.11 | $167.64 | |
Cigna
| Professional | $67.83 | $114.51 | $224.96 | |
Lucent Health
| Facility | $407.21 | $441.13 | $441.13 | |
Lucent Health
| Professional | $569.78 | $830.18 | $830.18 | |
United
| Professional | $76.34 | $92.48 | $171.31 |