| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.55 | $1.55 | $1.55 | |
Aetna
| Professional | $1.15 | $1.55 | $1.93 | |
Cigna
| Facility | $1.62 | $1.62 | $2.24 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
Medcost
| Facility | $1.55 | $2.15 | $3.29 | |
Medcost
| Professional | $2.22 | $2.22 | $2.22 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
United
| Professional | $0.78 | $1.18 | $1.78 |