| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.61 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Professional | $161.63 | $161.63 | $202.03 | |
Medcost
| Facility | $0.15 | $0.15 | $0.19 | |
Medcost
| Professional | $0.16 | $0.17 | $0.17 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $0.28 | $0.72 | $0.72 |