| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $29.51 | $51.29 | |
Aetna
| Professional | $17.38 | $28.84 | $33.11 | |
Ambetter
| Professional | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
Lucent Health
| Facility | $173.78 | $173.78 | $173.78 | |
United
| Facility | $25.12 | $33.11 | $33.11 | |
United
| Professional | $11.75 | $39.81 | $64.57 |