| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.72 | $65.72 | $71.80 | |
Aetna
| Professional | $64.50 | $75.22 | $127.91 | |
Ambetter
| Professional | $75.43 | $109.55 | $219.11 | |
BCBS
| Professional | $87.04 | $131.46 | $131.46 | |
Cigna
| Facility | $95.80 | $96.73 | $96.73 | |
Cigna
| Professional | $70.61 | $70.61 | $96.73 | |
Lucent Health
| Facility | $248.75 | $766.63 | $846.55 | |
Lucent Health
| Professional | $855.46 | $855.46 | $1,243.73 | |
United
| Professional | $48.58 | $72.22 | $104.55 |