| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.14 | $43.14 | $47.14 | |
Aetna
| Professional | $42.34 | $46.35 | $83.97 | |
Ambetter
| Professional | $76.72 | $78.00 | $129.47 | |
BCBS
| Professional | $57.14 | $86.31 | $86.31 | |
Cigna
| Facility | $22.26 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $59.92 | |
Lucent Health
| Facility | $152.12 | $474.60 | $474.60 | |
Lucent Health
| Professional | $521.73 | $521.73 | $719.25 | |
United
| Professional | $31.89 | $46.85 | $72.06 |