| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.17 | $1.17 | $1.17 | |
Aetna
| Professional | $0.95 | $1.36 | $1.88 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Moda Health
| Facility | $1.12 | $1.88 | $2.69 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
United
| Professional | $235.83 | $235.83 | $330.16 |