| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $19.05 | $97.72 | |
Ambetter
| Professional | $22.91 | $23.44 | $31.62 | |
Cigna
| Professional | $19.05 | $22.91 | $34.67 | |
Medcost
| Facility | $17.78 | $19.50 | $28.84 | |
Molina
| Professional | $21.38 | $30.20 | $30.20 | |
United
| Professional | $28.18 | $36.31 | $53.70 |