| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.08 | $21.08 | $21.08 | |
Aetna
| Professional | $17.14 | $21.36 | $26.47 | |
Ambetter
| Professional | $21.68 | $21.68 | $27.29 | |
BCBS
| Professional | $21.68 | $29.10 | $29.34 | |
Cigna
| Facility | $22.28 | $22.28 | $24.09 | |
Cigna
| Professional | $18.94 | $22.28 | $29.25 | |
Lucent Health
| Facility | $45.06 | $159.78 | $159.78 | |
United
| Professional | $11.18 | $18.82 | $26.94 |