| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.28 | $149.60 | $735.57 | |
Aetna
| Professional | $0.28 | $0.28 | $0.30 | |
Ambetter
| Professional | $37.00 | $37.00 | $37.00 | |
Cigna
| Facility | $0.27 | $0.27 | $0.27 | |
Cigna
| Professional | $0.27 | $0.27 | $0.27 | |
United
| Professional | $0.27 | $0.28 | $0.50 |