| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.14 | $0.14 | $0.44 | |
Aetna
| Professional | $0.14 | $0.14 | $0.15 | |
Cigna
| Professional | $1.74 | $1.74 | $202.03 | |
Health Alliance Plan
| Facility | $0.14 | $0.18 | $0.44 | |
Health Alliance Plan
| Professional | $0.14 | $0.14 | $0.16 | |
Molina
| Professional | $0.10 | $30.00 | $1,500.00 | |
United
| Professional | $0.60 | $0.72 | $0.86 |