| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.43 | $53.75 | $63.24 | |
Aetna
| Professional | $32.63 | $58.24 | $74.62 | |
Ambetter
| Professional | $51.86 | $51.86 | $51.87 | |
CareSource
| Facility | $34.79 | $47.56 | $57.42 | |
CareSource
| Professional | $50.84 | $65.63 | $120.46 | |
Cigna
| Professional | $31.25 | $50.89 | $50.89 | |
United
| Professional | $59.10 | $78.90 | $125.28 |