| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.98 | $57.48 | $68.51 | |
Ambetter
| Professional | $53.87 | $53.87 | $53.87 | |
Qualchoice
| Professional | $61.95 | $61.95 | $61.95 | |
United
| Professional | $27.49 | $33.11 | $50.74 |