| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.10 | $12.10 | $12.11 |
Aetna
| Professional | 26 | $5.99 | $7.17 | $22.53 |
Aetna
| Professional | TC | $18.57 | $22.58 | $64.18 |
Ambetter
| Professional | 26 | $22.68 | $22.68 | $23.66 |
Cigna
| Professional | 26 | $24.14 | $34.78 | $48.30 |
Cigna
| Professional | TC | $73.45 | $101.68 | $144.38 |
United
| Professional | 26 | $15.77 | $20.28 | $63.29 |
United
| Professional | TC | $44.93 | $57.76 | $200.19 |