| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.35 | $0.35 | $5.12 | |
Aetna
| Professional | $0.33 | $0.35 | $1.44 | |
Cigna
| Professional | $0.11 | $0.11 | $0.11 | |
Health Alliance Plan
| Facility | $0.35 | $0.35 | $5.12 | |
Health Alliance Plan
| Professional | $0.35 | $0.35 | $1.43 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |