| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.05 | $0.16 | |
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.13 | $0.13 | $0.47 | |
Health Alliance Plan
| Facility | $0.05 | $0.13 | $0.16 | |
Health Alliance Plan
| Professional | $0.05 | $0.11 | $0.14 | |
Molina
| Professional | $8.24 | $30.00 | $1,500.00 | |
United
| Professional | $0.05 | $0.06 | $0.07 |