| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $89.13 | $309.03 | |
Aetna
| Professional | $5.01 | $13.49 | $69.18 | |
Ambetter
| Professional | $3.80 | $4.47 | $10.47 | |
Cigna
| Facility | $5.37 | $5.37 | $5.37 | |
Cigna
| Professional | $5.37 | $5.37 | $5.37 | |
United
| Professional | $5.13 | $5.37 | $9.77 |