| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $39.81 | $85.11 | |
Aetna
| Professional | $39.81 | $44.67 | $83.18 | |
Ambetter
| Professional | $31.62 | $37.15 | $57.54 | |
Cigna
| Facility | $43.65 | $43.65 | $43.65 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Professional | $39.81 | $42.66 | $46.77 |