| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.07 | $20.07 | $20.09 |
Aetna
| Professional | 26 | $9.83 | $11.89 | $22.36 |
Aetna
| Professional | TC | $14.48 | $16.53 | $29.48 |
Ambetter
| Professional | 26 | $22.68 | $22.68 | $23.66 |
Cigna
| Professional | 26 | $24.14 | $34.78 | $48.30 |
Cigna
| Professional | TC | $34.32 | $47.32 | $67.20 |
United
| Professional | 26 | $15.77 | $20.28 | $63.29 |
United
| Professional | TC | $20.99 | $26.98 | $93.19 |