| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $5.75 | $29.51 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Ambetter
| Professional | $3.02 | $7.59 | $338.84 | |
Molina
| Professional | $39.81 | $39.81 | $50.12 | |
United
| Facility | $6.03 | $6.31 | $10.00 |