| 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
| Facility | $0.20 | $0.20 | $64.00 | |
Cigna
| Professional | $0.17 | $0.17 | $0.17 | |
Medcost
| Facility | $0.15 | $0.19 | $14.00 | |
Medcost
| Professional | $8.66 | $8.66 | $8.66 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
United
| Professional | $0.13 | $0.20 | $0.27 |