| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $2.51 | $12.88 | $47.86 | |
Cigna
| Facility | $0.08 | $0.51 | $0.51 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Qualchoice
| Professional | $54.95 | $54.95 | $54.95 | |
United
| Facility | $0.38 | $0.38 | $0.71 | |
United
| Professional | $0.20 | $0.50 | $0.51 |