| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.33 | $34.42 | $48.02 | |
Ambetter
| Professional | $50.37 | $50.37 | $50.37 | |
Cigna
| Professional | $29.95 | $47.29 | $66.28 | |
Qualchoice
| Professional | $57.93 | $57.93 | $57.93 | |
United
| Professional | $36.82 | $43.95 | $56.81 |