| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.48 | $1.48 | $1.48 | |
Aetna
| Professional | $1.13 | $1.48 | $1.67 | |
Cigna
| Professional | $1.38 | $1.38 | $2.86 | |
Health Alliance Plan
| Facility | $1.48 | $1.96 | $1.96 | |
Health Alliance Plan
| Professional | $1.48 | $1.96 | $2.54 | |
Molina
| Professional | $30.00 | $75.00 | $1,500.00 | |
United
| Professional | $0.81 | $1.28 | $2.44 |