| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.16 | $268.02 | $376.26 | |
Ambetter
| Professional | $287.54 | $287.54 | $328.14 | |
Cigna
| Professional | $128.19 | $199.98 | $319.83 | |
Qualchoice
| Professional | $330.67 | $330.67 | $377.36 | |
United
| Professional | $102.65 | $249.94 | $419.21 |