| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.71 | $1.71 | $1.71 | |
Aetna
| Professional | $1.71 | $1.71 | $1.80 | |
Ambetter
| Professional | $1.28 | $1.28 | $1.28 | |
Cigna
| Facility | $1.71 | $1.71 | $1.71 | |
Cigna
| Professional | $1.71 | $1.71 | $1.71 | |
United
| Professional | $1.71 | $1.71 | $2.33 |