| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $89.13 | $154.88 | |
Aetna
| Professional | $81.28 | $87.10 | $95.50 | |
Ambetter
| Professional | $57.54 | $57.54 | $75.86 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Lucent Health
| Facility | $128.82 | $128.82 | $128.82 |