| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $20.89 | $134.90 | |
Aetna
| Professional | $14.13 | $14.45 | $31.62 | |
Ambetter
| Professional | $10.96 | $13.80 | $21.38 | |
Cigna
| Facility | $14.79 | $14.79 | $14.79 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
United
| Professional | $13.49 | $15.14 | $16.60 |