| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $50.12 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Medcost
| Facility | $0.10 | $0.10 | $0.38 | |
Medcost
| Professional | $0.10 | $0.10 | $0.11 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 | |
United
| Facility | $0.05 | $0.07 | $0.12 | |
United
| Professional | $0.05 | $0.13 | $0.13 |