| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.32 | $112.32 | $112.32 | |
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
Ambetter
| Professional | $38.70 | $40.75 | $49.25 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |