| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.04 | $27.31 | $37.07 | |
Ambetter
| Professional | $21.46 | $25.25 | $37.92 | |
Cigna
| Facility | $64.17 | $113.47 | $113.47 | |
Cigna
| Professional | $24.70 | $24.70 | $28.03 | |
United
| Professional | $20.97 | $25.85 | $38.04 |