| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $58.88 | $346.74 | |
Aetna
| Professional | $43.65 | $43.65 | $43.65 | |
Ambetter
| Professional | $5.01 | $5.01 | $5.01 | |
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $0.05 | |
United
| Professional | $0.05 | $0.05 | $0.09 |