| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $25.20 | $25.20 | $25.20 | |
Health Alliance Plan
| Professional | $0.02 | $0.02 | $0.02 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $9.00 | $11.00 | $16.50 |