| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $52.48 | $81.28 | |
Aetna
| Professional | $28.18 | $52.48 | $72.44 | |
Ambetter
| Professional | $28.18 | $43.65 | $57.54 | |
CareSource
| Facility | $35.48 | $45.71 | $63.10 | |
CareSource
| Professional | $53.70 | $61.66 | $123.03 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $32.36 | $58.88 | $95.50 |