| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $48.98 | |
Aetna
| Professional | $39.81 | $50.12 | $61.66 | |
Ambetter
| Professional | $47.86 | $51.29 | $61.66 | |
Cigna
| Professional | $52.48 | $69.18 | $93.33 | |
Medcost
| Facility | $40.74 | $50.12 | $64.57 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $47.86 | $61.66 | $91.20 |