| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $6.03 | $6.03 | $12.88 |
Aetna
| Professional | 26 | $5.01 | $7.08 | $26.92 |
Aetna
| Professional | TC | $18.20 | $22.91 | $77.62 |
Ambetter
| Professional | 26 | $20.89 | $23.99 | $37.15 |
Cigna
| Professional | 26 | $25.70 | $33.88 | $46.77 |
Cigna
| Professional | TC | $79.43 | $100.00 | $138.04 |
United
| Professional | 26 | $14.45 | $22.91 | $28.84 |
United
| Professional | TC | $43.65 | $64.57 | $81.28 |