| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $9.55 | $25.12 | |
Aetna
| Professional | $7.94 | $7.94 | $8.91 | |
Ambetter
| Professional | $7.94 | $7.94 | $7.94 | |
Cigna
| Facility | $7.94 | $7.94 | $7.94 | |
Cigna
| Professional | $7.94 | $7.94 | $7.94 | |
United
| Professional | $7.76 | $7.94 | $12.30 |