| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.11 | $31.67 | $204.29 | |
Aetna
| Professional | $16.32 | $19.55 | $34.84 | |
Ambetter
| Professional | $23.45 | $23.45 | $27.63 | |
Cigna
| Professional | $17.63 | $24.34 | $33.27 | |
Qualchoice
| Professional | $26.97 | $26.97 | $31.77 | |
United
| Professional | $16.26 | $20.19 | $25.24 |