| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.40 | $117.67 | $515.82 | |
Aetna
| Professional | $74.02 | $87.35 | $87.35 | |
Ambetter
| Professional | $52.80 | $52.80 | $86.00 | |
Cigna
| Professional | $87.12 | $87.12 | $87.12 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |