| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $30.90 | $70.79 | |
Aetna
| Professional | $30.20 | $30.20 | $39.81 | |
Ambetter
| Professional | $14.13 | $24.55 | $28.84 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Lucent Health
| Facility | $107.15 | $107.15 | $107.15 | |
United
| Professional | $33.88 | $34.67 | $40.74 |