| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.15 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
Moda Health
| Facility | $0.15 | $0.15 | $0.19 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |