| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.38 | $23.44 | $100.00 | |
Aetna
| Professional | $19.95 | $21.88 | $32.36 | |
Ambetter
| Professional | $5.62 | $5.62 | $5.62 | |
BCBS
| Professional | $21.38 | $34.67 | $34.67 | |
Cigna
| Facility | $14.13 | $36.31 | $81.28 | |
Cigna
| Professional | $14.79 | $14.79 | $36.31 | |
Lucent Health
| Facility | $134.90 | $134.90 | $134.90 | |
United
| Facility | $10.23 | $19.50 | $28.18 | |
United
| Professional | $11.75 | $17.38 | $31.62 |