| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $27.54 | $954.99 | |
Aetna
| Professional | $3.98 | $3.98 | $5.01 | |
Ambetter
| Professional | $4.07 | $4.07 | $4.79 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $4.79 | $4.79 | $4.79 | |
United
| Professional | $4.57 | $4.79 | $8.51 |