| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.72 | $38.90 | $56.23 | |
Aetna
| Professional | 25 | $8.71 | $38.02 | $38.02 |
Ambetter
| Professional | $15.14 | $19.95 | $30.20 | |
Cigna
| Professional | $42.66 | $42.66 | $53.70 | |
Medica
| Professional | $13.49 | $13.49 | $50.12 | |
Midlands
| Professional | $38.90 | $47.86 | $47.86 | |
United
| Professional | $13.49 | $19.05 | $50.12 |