| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.20 | $0.20 | $0.20 | |
Aetna
| Professional | $0.19 | $0.20 | $0.21 | |
Cigna
| Facility | $0.20 | $0.20 | $0.20 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Moda Health
| Facility | $0.20 | $0.22 | $0.30 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 |