| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $251.19 | $354.81 | |
Ambetter
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $288.40 | $446.68 | $549.54 | |
United
| Professional | $269.15 | $338.84 | $478.63 |