| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.50 | $64.50 | $81.06 | |
Ambetter
| Professional | $105.06 | $105.06 | $105.06 | |
Cigna
| Professional | $46.76 | $69.38 | $113.41 | |
Medcost
| Facility | $54.96 | $67.83 | $104.46 | |
Molina
| Professional | $64.69 | $80.86 | $126.15 | |
United
| Professional | $51.25 | $67.14 | $102.32 |