| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.11 | $86.87 | $133.19 | |
Aetna
| Professional | $62.45 | $86.87 | $123.34 | |
Ambetter
| Professional | $88.87 | $88.87 | $88.87 | |
BCBS
| Professional | $91.64 | $145.52 | $251.73 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Lucent Health
| Facility | $187.00 | $453.15 | $453.15 | |
Lucent Health
| Professional | $535.96 | $535.96 | $823.13 | |
United
| Professional | $78.53 | $114.16 | $225.53 |