| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $0.03 | $0.12 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Cigna
| Facility | $7.00 | $7.00 | $23.56 | |
Cigna
| Professional | $20.03 | $20.03 | $20.03 | |
Medcost
| Facility | $0.03 | $0.04 | $0.05 | |
Medcost
| Professional | $0.04 | $0.04 | $0.04 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 |