| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $25.70 | $25.70 | |
Ambetter
| Professional | $16.98 | $16.98 | $30.20 | |
Cigna
| Professional | $144.54 | $144.54 | $144.54 | |
Medcost
| Facility | $26.30 | $27.54 | $75.86 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |