| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.50 | $0.50 | $0.50 | |
Aetna
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Professional | $1.21 | $1.21 | $1.21 | |
Moda Health
| Facility | $0.50 | $0.53 | $0.88 | |
Molina
| Professional | $0.41 | $0.88 | $3,500.00 |