| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.45 | |
Ambetter
| Professional | $7.94 | $7.94 | $39.81 | |
Cigna
| Professional | $0.11 | $0.11 | $0.11 | |
Medcost
| Facility | $0.34 | $0.39 | $0.85 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |