| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $354.81 | $354.81 | $354.81 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $131.83 | $245.47 | $363.08 |