| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.22 | $159.22 | $167.72 | |
Aetna
| Professional | $121.35 | $161.35 | $198.47 | |
Ambetter
| Professional | $252.00 | $252.00 | $252.00 | |
Cigna
| Facility | $64.00 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $125.04 | |
Lucent Health
| Facility | $76.00 | $265.27 | $761.52 | |
Lucent Health
| Professional | $543.62 | $959.04 | $959.04 | |
United
| Professional | $8.06 | $14.84 | $30.78 |