| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.35 | $0.35 | $0.35 | |
Aetna
| Professional | $0.31 | $0.35 | $0.35 | |
Cigna
| Facility | $0.13 | $0.13 | $64.00 | |
Cigna
| Professional | $0.11 | $0.11 | $0.11 | |
Medcost
| Facility | $0.35 | $0.40 | $0.74 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |