| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.95 | $84.95 | $84.95 | |
Aetna
| Professional | $84.19 | $84.95 | $125.20 | |
Ambetter
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Professional | $202.00 | $246.71 | $261.05 | |
United
| Facility | $233.00 | $233.00 | $233.00 | |
United
| Professional | $42.08 | $42.08 | $320.00 |