| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
Ambetter
| Professional | $30.56 | $40.75 | $60.00 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Medcost
| Facility | $83.00 | $112.32 | $140.40 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |