| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.20 | $66.47 | $108.85 | |
Aetna
| Professional | $25.31 | $57.19 | $76.72 | |
Ambetter
| Professional | $43.53 | $43.53 | $43.53 | |
BCBS
| Professional | $26.95 | $51.22 | $85.01 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Lucent Health
| Facility | $161.10 | $161.10 | $166.92 | |
Lucent Health
| Professional | $275.99 | $275.99 | $488.59 | |
United
| Professional | $54.79 | $66.69 | $129.99 |