| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $22.00 | $26.00 | |
Cigna
| Professional | $1.12 | $1.41 | $4.44 | |
Health Alliance Plan
| Professional | $4.00 | $4.00 | $22.00 | |
Molina
| Professional | $30.00 | $30.00 | $1,500.00 | |
United
| Professional | $0.27 | $0.68 | $0.76 |