| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $38.02 | $95.50 | |
Ambetter
| Professional | $11.48 | $15.49 | $20.42 | |
Cigna
| Professional | $3.98 | $12.88 | $17.38 | |
Horizon BCBS
| Professional | $12.59 | $12.59 | $12.59 | |
United
| Professional | $9.77 | $14.13 | $16.22 |