| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.71 | $268.02 | $334.24 | |
Ambetter
| Professional | $326.67 | $326.67 | $326.67 | |
Cigna
| Professional | $128.02 | $199.09 | $319.39 | |
Qualchoice
| Professional | $375.67 | $375.67 | $375.67 | |
United
| Professional | $102.65 | $236.46 | $420.13 |