| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $16.22 | $25.12 | |
Aetna
| Professional | $12.02 | $16.98 | $23.99 | |
Ambetter
| Professional | $19.50 | $19.50 | $19.95 | |
BCBS
| Professional | $20.89 | $20.89 | $30.90 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Lucent Health
| Facility | $131.83 | $131.83 | $131.83 | |
Lucent Health
| Professional | $138.04 | $208.93 | $208.93 | |
United
| Professional | $7.94 | $12.88 | $15.85 |