| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.97 | $19.57 | $25.59 | |
Ambetter
| Professional | $17.73 | $23.47 | $23.87 | |
Cigna
| Professional | $19.00 | $23.42 | $25.45 | |
Medcost
| Facility | $19.00 | $24.12 | $37.38 | |
Molina
| Professional | $21.25 | $30.00 | $30.00 | |
United
| Professional | $29.50 | $38.65 | $59.39 |