| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.00 | $1,316.46 | $1,421.18 | |
Aetna
| Professional | $313.69 | $321.26 | $345.06 | |
Ambetter
| Professional | $187.50 | $331.25 | $331.25 | |
Cigna
| Professional | $730.76 | $730.76 | $730.76 | |
United
| Professional | $342.17 | $359.05 | $359.05 |