| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $141.25 | $338.84 | |
Ambetter
| Professional | $131.83 | $131.83 | $154.88 | |
Cigna
| Professional | $123.03 | $169.82 | $245.47 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $125.89 | $154.88 | $204.17 |