| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $23.44 | $25.70 | |
Aetna
| Professional | $6.03 | $6.03 | $7.08 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $0.47 | $4.79 | $4.79 | |
Medcost
| Facility | $0.38 | $6.61 | $7.76 | |
Medcost
| Professional | $6.61 | $6.61 | $6.92 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $0.02 | $0.02 | $0.02 |