| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.52 | $0.52 | $0.65 | |
Aetna
| Professional | $0.52 | $0.52 | $0.52 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
Medcost
| Facility | $0.52 | $0.52 | $0.88 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |