| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
Cigna
| Professional | $2.17 | $2.17 | $2.17 | |
Health Alliance Plan
| Professional | $6.00 | $6.00 | $11.64 | |
Molina
| Professional | $30.00 | $30.00 | $1,500.00 | |
United
| Professional | $3.20 | $4.17 | $4.25 |