| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $21.00 | $25.00 | |
Cigna
| Professional | $2.54 | $2.54 | $2.54 | |
Health Alliance Plan
| Professional | $0.19 | $0.19 | $21.00 | |
Molina
| Professional | $30.00 | $30.00 | $1,500.00 | |
United
| Professional | $0.11 | $0.27 | $0.33 |