| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $295.12 | $338.84 | |
Ambetter
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
United
| Professional | $251.19 | $275.42 | $537.03 |