| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.14 | $94.61 | $132.53 | |
Ambetter
| Professional | $22.00 | $91.84 | $145.00 | |
Cigna
| Professional | $68.00 | $101.37 | $165.84 | |
Medcost
| Facility | $80.08 | $99.19 | $152.75 | |
Molina
| Professional | $82.40 | $112.41 | $178.53 | |
United
| Professional | $75.11 | $96.80 | $149.03 |