| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $79.43 | $144.54 | |
Ambetter
| Professional | $66.07 | $79.43 | $134.90 | |
CareSource
| Professional | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $69.18 | $125.89 | $173.78 | |
Qualchoice
| Professional | $151.36 | $151.36 | $154.88 | |
United
| Professional | $50.12 | $83.18 | $162.18 |