| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.70 | $1.70 | $6.87 | |
Aetna
| Professional | $1.70 | $1.70 | $1.76 | |
Cigna
| Professional | $0.75 | $0.75 | $0.94 | |
Medcost
| Facility | $1.70 | $1.76 | $3.42 | |
Medcost
| Professional | $1.85 | $3.00 | $3.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Facility | $0.04 | $1.67 | $3.92 | |
United
| Professional | $1.67 | $4.17 | $4.17 |