| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.51 | $102.51 | $102.51 | |
Aetna
| Professional | $78.12 | $102.51 | $112.32 | |
Ambetter
| Professional | $94.50 | $308.62 | $377.78 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |