| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,288.25 | $2,454.71 | |
Aetna
| Professional | $331.13 | $457.09 | $645.65 | |
Ambetter
| Professional | $407.38 | $407.38 | $588.84 | |
Cigna
| Professional | $309.03 | $602.56 | $741.31 | |
Qualchoice
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 | |
United
| Professional | $354.81 | $436.52 | $794.33 |