| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $21.88 | $21.88 | |
Ambetter
| Professional | $14.79 | $14.79 | $70.79 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
Medcost
| Facility | $22.39 | $23.44 | $75.86 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |