| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.00 | $195.00 | $218.14 | |
Ambetter
| Facility | $120.00 | $120.00 | $132.00 | |
Cigna
| Facility | $150.00 | $239.00 | $387.00 | |
Qualchoice
| Facility | $151.80 | $151.80 | $151.80 | |
United
| Facility | $472.00 | $472.00 | $472.00 |