| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.36 | $198.36 | $205.25 | |
Aetna
| Professional | $198.36 | $218.75 | $258.99 | |
Ambetter
| Professional | $236.29 | $236.29 | $252.56 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
United
| Professional | $207.49 | $207.49 | $207.49 |