| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.13 | $69.13 | $69.13 | |
Aetna
| Professional | $69.13 | $69.13 | $96.10 | |
Ambetter
| Professional | $94.50 | $319.16 | $390.62 | |
Cigna
| Professional | $20.93 | $20.93 | $20.93 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |