| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.63 | $369.74 | $369.74 | |
Aetna
| Professional | $355.52 | $369.74 | $635.21 | |
Ambetter
| Professional | $640.08 | $640.08 | $853.44 | |
BCBS
| Professional | $508.49 | $768.10 | $768.10 | |
Cigna
| Facility | $428.70 | $501.15 | $501.15 | |
Cigna
| Professional | $365.84 | $365.84 | $501.15 | |
Lucent Health
| Facility | $1,342.73 | $4,189.30 | $4,467.28 | |
Lucent Health
| Professional | $4,528.81 | $4,528.81 | $6,015.15 | |
United
| Professional | $283.85 | $425.77 | $602.86 |