| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $0.99 | $0.99 | |
Aetna
| Professional | $0.76 | $0.99 | $1.11 | |
Cigna
| Professional | $1.22 | $1.22 | $1.91 | |
Health Alliance Plan
| Facility | $0.99 | $1.31 | $1.31 | |
Health Alliance Plan
| Professional | $0.99 | $1.31 | $1.70 | |
Molina
| Professional | $30.00 | $75.00 | $1,500.00 | |
United
| Professional | $0.54 | $0.86 | $1.56 |