| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.36 | $2.36 | $7.36 | |
Aetna
| Professional | $2.36 | $2.36 | $2.50 | |
Cigna
| Facility | $1.73 | $1.73 | $1.73 | |
Cigna
| Professional | $1.59 | $1.73 | $1.73 | |
Health Alliance Plan
| Facility | $2.00 | $2.95 | $7.36 | |
Health Alliance Plan
| Professional | $2.00 | $2.36 | $2.50 | |
Molina
| Professional | $0.45 | $30.00 | $1,500.00 | |
United
| Professional | $1.17 | $1.52 | $1.55 |