| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.93 | $27.93 | $34.69 | |
Aetna
| Professional | $24.51 | $33.34 | $47.30 | |
Ambetter
| Professional | $54.08 | $54.08 | $54.08 | |
BCBS
| Professional | $33.42 | $48.67 | $48.67 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $25.99 | $35.60 | |
Lucent Health
| Facility | $84.50 | $253.09 | $256.88 | |
Lucent Health
| Professional | $269.32 | $269.32 | $405.60 | |
United
| Professional | $17.64 | $26.30 | $38.44 |