| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $19.05 | $30.20 | |
Ambetter
| Professional | $17.78 | $18.20 | $25.12 | |
Cigna
| Professional | $19.05 | $21.88 | $36.31 | |
Medcost
| Facility | $15.85 | $19.95 | $28.84 | |
Molina
| Professional | $21.38 | $30.20 | $30.20 | |
United
| Professional | $29.51 | $37.15 | $56.23 |