| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.95 | $39.75 | $155.19 | |
Aetna
| Professional | $27.01 | $32.36 | $72.00 | |
Aetna
| Professional | 25 | $50.51 | $50.51 | $50.51 |
Ambetter
| Professional | $25.45 | $32.93 | $47.27 | |
Cigna
| Facility | $41.14 | $41.14 | $41.14 | |
Cigna
| Professional | $28.57 | $28.57 | $35.78 | |
Medcost
| Facility | $29.94 | $32.78 | $54.06 | |
Medcost
| Professional | $28.96 | $31.09 | $79.54 | |
Molina
| Professional | $32.34 | $40.87 | $63.26 | |
United
| Professional | $28.30 | $35.01 | $52.52 |