| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.52 | $0.52 | $0.52 | |
Aetna
| Professional | $0.52 | $0.52 | $0.52 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
DeanCare
| Facility | $0.52 | $0.52 | $0.62 | |
Medica
| Facility | $0.52 | $0.52 | $1.25 | |
Molina
| Professional | $50.00 | $70.00 | $85.00 | |
Prevea360
| Facility | $0.52 | $0.52 | $0.62 | |
Quartz
| Professional | $6.87 | $6.87 | $6.87 |