| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $14.13 | |
Aetna
| Professional | $8.91 | $8.91 | $14.13 | |
Ambetter
| Professional | $9.33 | $9.33 | $9.33 | |
Cigna
| Facility | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.00 | $10.00 | $10.00 | |
United
| Professional | $9.33 | $9.77 | $15.14 |