| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.80 | $86.41 | $94.41 | |
Aetna
| Professional | $81.47 | $91.21 | $161.74 | |
Ambetter
| Professional | $144.04 | $144.04 | $192.05 | |
BCBS
| Professional | $114.44 | $172.85 | $172.85 | |
Cigna
| Facility | $99.66 | $106.63 | $121.71 | |
Cigna
| Professional | $77.84 | $77.84 | $106.63 | |
Lucent Health
| Facility | $320.95 | $889.53 | $889.53 | |
Lucent Health
| Professional | $961.74 | $961.74 | $1,398.23 | |
United
| Professional | $63.88 | $92.83 | $128.25 |