| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $93.33 | $208.93 | $302.00 | |
Cigna
| Professional | $102.33 | $102.33 | $123.03 | |
Molina
| Professional | $32.36 | $39.81 | $39.81 | |
United
| Facility | $234.42 | $302.00 | $549.54 | |
United
| Professional | $263.03 | $316.23 | $588.84 |