| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $61.66 | $338.84 | |
Ambetter
| Professional | $23.99 | $28.18 | $35.48 | |
Cigna
| Professional | $28.18 | $41.69 | $102.33 | |
Horizon BCBS
| Professional | $28.84 | $37.15 | $93.33 | |
United
| Professional | $28.84 | $48.98 | $91.20 |