| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.63 | $69.45 | $90.01 | |
Ambetter
| Professional | $73.18 | $73.18 | $118.14 | |
CareSource
| Professional | $42.09 | $42.09 | $64.41 | |
Cigna
| Professional | $35.19 | $68.23 | $104.44 | |
Qualchoice
| Professional | $84.16 | $84.16 | $135.86 | |
United
| Professional | $35.01 | $49.09 | $74.03 |