| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.12 | $1.12 | $1.12 | |
Cigna
| Facility | $0.52 | $0.52 | $2.09 | |
Cigna
| Professional | $0.52 | $0.52 | $0.65 | |
Molina
| Professional | $64.57 | $64.57 | $75.86 | |
United
| Professional | $0.58 | $0.58 | $0.58 |