| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
Ambetter
| Professional | $26.92 | $26.92 | $75.86 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
United
| Professional | $41.69 | $45.71 | $208.93 |