| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $40.74 | $58.88 | |
Aetna
| Professional | $28.18 | $38.90 | $53.70 | |
Aetna
| Professional | 25 | $7.76 | $7.76 | $7.76 |
Ambetter
| Professional | $30.20 | $36.31 | $39.81 | |
Cigna
| Professional | $22.91 | $32.36 | $144.54 | |
Horizon BCBS
| Professional | $36.31 | $43.65 | $64.57 | |
United
| Facility | $30.90 | $41.69 | $51.29 | |
United
| Professional | $25.12 | $38.90 | $72.44 |