| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.60 | $30.48 | $34.14 | |
Ambetter
| Professional | $9.00 | $9.00 | $9.00 | |
Medcost
| Facility | $20.56 | $30.48 | $44.68 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $27.52 | $35.24 | $53.23 |