| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.26 | $0.26 | $0.26 | |
Aetna
| Professional | $0.26 | $0.35 | $0.35 | |
Cigna
| Professional | $0.11 | $0.11 | $0.11 | |
Moda Health
| Facility | $0.35 | $0.35 | $0.45 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |