| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.33 | $88.19 | $88.19 | |
Aetna
| Professional | $63.03 | $65.33 | $70.16 | |
Ambetter
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Facility | $65.33 | $65.33 | $65.33 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
United
| Professional | $61.04 | $64.05 | $64.05 |