| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.13 | $118.13 | $118.13 | |
Aetna
| Professional | $118.13 | $118.13 | $130.08 | |
Ambetter
| Professional | $94.50 | $319.16 | $368.30 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |