| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $363.08 | $363.08 | |
Aetna
| Professional | $41.69 | $42.66 | $52.48 | |
Ambetter
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Facility | $42.66 | $50.12 | $61.66 | |
United
| Professional | $47.86 | $50.12 | $52.48 |