| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $576.70 | $729.80 | $1,175.46 |
Ambetter
| Professional | AA | $127.62 | $233.97 | $255.24 |
Health Alliance Plan
| Professional | AA | $576.70 | $849.42 | $1,238.16 |
United
| Professional | AA | $85.00 | $85.00 | $85.00 |