| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.49 | $440.02 | $1,117.97 | |
Aetna
| Professional | $85.59 | $101.78 | $135.22 | |
Ambetter
| Professional | $39.15 | $70.47 | $97.87 | |
BCBS
| Professional | $83.71 | $122.99 | $156.59 | |
Cigna
| Facility | $57.21 | $202.64 | $458.56 | |
Cigna
| Professional | $59.04 | $82.33 | $204.38 | |
Lucent Health
| Facility | $250.54 | $743.80 | $743.80 | |
Lucent Health
| Professional | $140.93 | $140.93 | $140.93 | |
United
| Professional | $61.50 | $73.79 | $156.59 |