| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $72.44 | $72.44 | |
Aetna
| Professional | $52.48 | $66.07 | $85.11 | |
Ambetter
| Professional | $16.98 | $52.48 | $61.66 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $53.70 | $70.79 | $70.79 | |
Medica
| Facility | $60.26 | $74.13 | $275.42 | |
Medica
| Professional | $60.26 | $74.13 | $75.86 | |
United
| Professional | $61.66 | $75.86 | $79.43 |