| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medcost
| Facility | $2.00 | $2.00 | $2.00 | |
Medcost
| Professional | $2.31 | $2.31 | $2.31 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $0.27 | $0.68 | $0.68 |