| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.13 | $262.75 | $536.40 | |
Aetna
| Professional | $157.46 | $165.32 | $228.76 | |
Ambetter
| Professional | $204.83 | $240.97 | $240.97 | |
BCBS
| Professional | $189.34 | $261.07 | $437.17 | |
Cigna
| Facility | $227.29 | $227.29 | $227.29 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Lucent Health
| Facility | $373.35 | $392.63 | $1,120.91 | |
Lucent Health
| Professional | $1,176.10 | $1,176.10 | $1,728.30 | |
United
| Professional | $159.02 | $261.29 | $428.42 |