| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.29 | $29.29 | $39.20 | |
Aetna
| Professional | $26.06 | $36.15 | $74.79 | |
Ambetter
| Professional | $37.22 | $43.78 | $44.66 | |
Cigna
| Professional | $29.08 | $41.88 | $69.77 | |
Medcost
| Facility | $27.76 | $39.20 | $59.26 | |
Medcost
| Professional | $51.81 | $51.81 | $51.81 | |
Molina
| Professional | $52.95 | $71.00 | $87.29 | |
United
| Professional | $32.35 | $40.82 | $74.04 |