| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.76 | $0.76 | $0.89 | |
Cigna
| Facility | $0.76 | $0.76 | $0.76 | |
Cigna
| Professional | $0.76 | $0.76 | $1.12 | |
Health Alliance Plan
| Facility | $0.80 | $0.89 | $0.89 | |
Health Alliance Plan
| Professional | $0.76 | $0.89 | $1.06 | |
Molina
| Professional | $8.24 | $30.00 | $1,500.00 | |
United
| Facility | $0.09 | $0.36 | $0.84 | |
United
| Professional | $0.36 | $0.89 | $0.91 |