| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.29 | $112.29 | $112.29 | |
Aetna
| Professional | $73.75 | $102.34 | $119.45 | |
Ambetter
| Professional | $97.39 | $97.39 | $97.39 | |
BCBS
| Professional | $89.02 | $129.47 | $200.68 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Lucent Health
| Facility | $179.96 | $196.02 | $530.37 | |
Lucent Health
| Professional | $661.18 | $661.18 | $854.40 | |
United
| Professional | $93.25 | $123.23 | $208.77 |