| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $77.62 | $562.34 | |
Aetna
| Professional | $12.02 | $12.02 | $173.78 | |
Ambetter
| Professional | $9.33 | $9.33 | $9.33 | |
Cigna
| Facility | $13.18 | $13.18 | $13.18 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
United
| Facility | $15.49 | $58.88 | $72.44 | |
United
| Professional | $12.88 | $12.88 | $15.49 |