| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.65 | $349.70 | $586.35 | |
Ambetter
| Professional | $445.97 | $445.97 | $508.93 | |
Cigna
| Professional | $173.65 | $310.38 | $433.62 | |
Qualchoice
| Professional | $512.87 | $512.87 | $585.27 | |
United
| Professional | $321.83 | $550.74 | $733.84 |