| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.11 | $99.11 | $99.11 | |
Aetna
| Professional | $99.11 | $99.11 | $122.42 | |
Ambetter
| Professional | $94.50 | $308.67 | $390.62 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |