| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.03 | $23.10 | $29.65 | |
Aetna
| Professional | 25 | $27.34 | $27.34 | $57.90 |
Ambetter
| Professional | $23.10 | $23.10 | $27.34 | |
Cigna
| Professional | $24.17 | $30.45 | $55.29 | |
United
| Professional | $22.66 | $27.28 | $40.40 |