| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $25.70 | $39.81 | |
Aetna
| Professional | $21.88 | $30.90 | $61.66 | |
Ambetter
| Professional | $23.99 | $30.90 | $33.11 | |
BCBS
| Professional | $25.12 | $25.12 | $27.54 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Lucent Health
| Facility | $281.84 | $281.84 | $281.84 | |
Lucent Health
| Professional | $281.84 | $436.52 | $436.52 | |
United
| Professional | $16.98 | $28.18 | $34.67 |