| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $123.03 | $239.88 | |
Ambetter
| Professional | $125.89 | $125.89 | $125.89 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Cigna
| Professional | $114.82 | $158.49 | $229.09 | |
United
| Professional | $120.23 | $147.91 | $186.21 |