| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.33 | $15.00 | $95.00 | |
Ambetter
| Professional | $14.88 | $17.00 | $22.96 | |
Cigna
| Professional | $10.00 | $19.17 | $23.14 | |
Medcost
| Facility | $14.51 | $18.89 | $35.93 | |
Molina
| Professional | $14.88 | $30.00 | $30.00 | |
United
| Professional | $29.59 | $37.89 | $57.10 |