| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $179.90 | |
Aetna
| Professional | $3.32 | $15.29 | $52.25 | |
Ambetter
| Professional | $12.57 | $14.79 | $20.71 | |
Cigna
| Professional | $14.28 | $14.28 | $14.28 | |
Lucent Health
| Facility | $80.00 | $80.48 | $80.48 | |
Lucent Health
| Facility | AS | $2.68 | $7.27 | $7.88 |
Lucent Health
| Professional | $94.23 | $98.60 | $130.05 | |
United
| Professional | $15.86 | $18.93 | $36.04 |