| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.68 | $0.68 | $0.68 | |
Aetna
| Professional | $0.68 | $0.68 | $0.68 | |
Cigna
| Facility | $2.02 | $2.02 | $2.02 | |
Cigna
| Professional | $1.71 | $1.72 | $2.02 | |
Molina
| Professional | $1.11 | $1.48 | $60.00 |