| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $0.06 | |
Cigna
| Professional | $9.09 | $11.29 | $55.00 | |
Medcost
| Facility | $17.55 | $23.50 | $23.50 | |
Medcost
| Professional | $22.53 | $22.53 | $22.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $10.16 | $13.20 | $34.79 |