| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.24 | $214.24 | $214.24 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Ambetter
| Professional | $56.00 | $90.00 | $120.96 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |