| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.05 | $48.40 | $64.53 | |
Aetna
| Professional | $31.39 | $49.62 | $71.50 | |
Ambetter
| Professional | $67.31 | $96.93 | $133.72 | |
BCBS
| Professional | $29.50 | $47.15 | $83.70 | |
Cigna
| Professional | $42.47 | $68.93 | $109.52 | |
Lucent Health
| Facility | $181.68 | $181.68 | $197.89 | |
Lucent Health
| Professional | $259.41 | $393.91 | $393.91 | |
United
| Professional | $50.42 | $68.70 | $120.05 |