| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.95 | $0.95 | $2.96 | |
Aetna
| Professional | $0.95 | $0.95 | $1.01 | |
Cigna
| Professional | $1.10 | $1.10 | $1.41 | |
Health Alliance Plan
| Facility | $0.95 | $1.19 | $2.96 | |
Health Alliance Plan
| Professional | $0.95 | $1.02 | $1.22 | |
Molina
| Professional | $8.24 | $30.00 | $1,500.00 | |
United
| Professional | $0.80 | $1.04 | $1.13 |