| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.27 | $98.27 | $98.27 | |
Aetna
| Professional | $92.03 | $92.39 | $99.02 | |
Ambetter
| Professional | $91.78 | $91.78 | $91.78 | |
Cigna
| Professional | $86.90 | $86.90 | $86.90 | |
United
| Professional | $67.18 | $82.83 | $119.85 |