| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Ambetter
| Professional | $5.66 | $5.66 | $5.66 | |
Cigna
| Professional | $10.66 | $21.48 | $26.85 | |
Medica
| Facility | $47.56 | $112.04 | $112.04 | |
Medica
| Professional | $8.44 | $10.16 | $15.56 | |
United
| Professional | $7.77 | $10.16 | $14.51 |