| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $33.88 | $58.88 | |
Ambetter
| Professional | $16.98 | $28.84 | $39.81 | |
CareSource
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $19.05 | $37.15 | $50.12 | |
Qualchoice
| Professional | $25.70 | $37.15 | $43.65 | |
United
| Professional | $21.88 | $28.84 | $44.67 |