| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $7.41 | $7.41 | $7.41 | |
Cigna
| Professional | $0.27 | $0.27 | $0.27 | |
Medcost
| Facility | $0.23 | $0.33 | $0.62 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.14 | $0.20 | $0.31 |