| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.15 | $354.81 | $416.87 | |
Ambetter
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $288.40 | $288.40 | $549.54 | |
United
| Professional | $229.09 | $398.11 | $724.44 |