| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.50 | $81.76 | $4,134.64 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.21 | $1.21 | $1.21 | |
Medcost
| Facility | $0.50 | $0.65 | $1.06 | |
Medcost
| Professional | $1.00 | $1.00 | $1.00 | |
Molina
| Professional | $0.57 | $0.57 | $0.65 |