| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $51.29 | $66.07 | |
Aetna
| Professional | $30.20 | $45.71 | $70.79 | |
Aetna
| Professional | 25 | $57.54 | $57.54 | $107.15 |
Ambetter
| Professional | $47.86 | $60.26 | $70.79 | |
Ambetter
| Professional | 25 | $48.98 | $60.26 | $75.86 |
BCBS
| Professional | $38.02 | $60.26 | $87.10 | |
Cigna
| Professional | $37.15 | $52.48 | $89.13 | |
Lucent Health
| Facility | $100.00 | $316.23 | $316.23 | |
Lucent Health
| Professional | $398.11 | $398.11 | $398.11 | |
United
| Professional | $30.20 | $41.69 | $69.18 |