| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.97 | $19.47 | $77.59 | |
Ambetter
| Professional | $21.25 | $21.25 | $22.96 | |
Cigna
| Professional | $19.00 | $25.56 | $30.09 | |
Medcost
| Facility | $19.00 | $24.37 | $35.93 | |
Molina
| Professional | $21.25 | $30.00 | $30.00 | |
United
| Professional | $28.36 | $37.17 | $57.10 |