| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.51 | $55.98 | $74.51 | |
Ambetter
| Professional | $92.85 | $92.85 | $92.85 | |
Cigna
| Professional | $52.00 | $69.44 | $111.17 | |
Molina
| Professional | $31.61 | $40.43 | $63.07 | |
United
| Professional | $51.50 | $63.88 | $103.08 |