| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Health Alliance Plan
| Facility | $0.12 | $0.31 | $0.35 | |
Health Alliance Plan
| Professional | $0.12 | $0.12 | $0.16 | |
Priority Health
| Professional | $0.38 | $0.38 | $0.38 | |
United
| Facility | $0.05 | $0.05 | $0.11 | |
United
| Professional | $0.05 | $0.12 | $0.13 |