| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.33 | $59.78 | $71.38 | |
Ambetter
| Professional | $41.92 | $41.92 | $41.92 | |
Cigna
| Professional | $41.00 | $61.95 | $99.49 | |
Medcost
| Facility | $51.12 | $67.93 | $106.45 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $52.09 | $72.70 | $108.35 |