| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Ambetter
| Professional | $2.09 | $2.09 | $2.09 | |
Cigna
| Professional | $6.46 | $6.46 | $6.46 | |
Medica
| Facility | $0.51 | $2.95 | $562.34 | |
Medica
| Professional | $2.40 | $2.40 | $6.92 |