| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $38.02 | $56.23 | |
Aetna
| Professional | $25.12 | $36.31 | $74.13 | |
Ambetter
| Professional | $37.15 | $44.67 | $51.29 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
Cigna
| Professional | $28.18 | $46.77 | $79.43 | |
Emblem Health
| Professional | $77.62 | $77.62 | $77.62 | |
Horizon BCBS
| Professional | $34.67 | $41.69 | $70.79 | |
United
| Professional | $24.55 | $38.02 | $67.61 |