| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.94 | $115.94 | $115.94 | |
Aetna
| Professional | $94.29 | $117.48 | $137.38 | |
Ambetter
| Professional | $151.26 | $151.26 | $158.82 | |
BCBS
| Professional | $133.46 | $167.33 | $186.18 | |
Cigna
| Facility | $114.47 | $114.47 | $144.91 | |
Cigna
| Professional | $97.30 | $114.47 | $150.25 | |
Lucent Health
| Facility | $205.45 | $821.01 | $821.01 | |
United
| Professional | $61.54 | $107.09 | $158.71 |