| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.70 | $22.70 | $22.70 | |
Aetna
| Professional | $18.46 | $23.00 | $28.21 | |
Ambetter
| Professional | $30.43 | $30.43 | $30.43 | |
BCBS
| Professional | $25.32 | $31.88 | $36.51 | |
Cigna
| Facility | $23.28 | $23.28 | $29.01 | |
Cigna
| Professional | $19.79 | $23.28 | $30.56 | |
Lucent Health
| Facility | $47.01 | $167.12 | $167.12 | |
United
| Professional | $12.04 | $19.39 | $27.14 |