| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.47 | $57.71 | $59.17 | |
Aetna
| Professional | $27.95 | $38.47 | $57.28 | |
Ambetter
| Professional | $63.68 | $63.68 | $63.68 | |
Cigna
| Professional | $30.68 | $52.38 | $80.92 | |
Qualchoice
| Professional | $73.23 | $73.23 | $73.23 | |
United
| Professional | $45.24 | $53.49 | $69.23 |