| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $0.45 | $1.40 | |
Aetna
| Professional | $0.45 | $0.45 | $0.48 | |
Cigna
| Facility | $3.85 | $3.85 | $3.85 | |
Cigna
| Professional | $0.59 | $3.85 | $3.85 | |
Health Alliance Plan
| Facility | $0.45 | $0.56 | $1.40 | |
Health Alliance Plan
| Professional | $0.45 | $0.55 | $0.66 | |
Molina
| Professional | $8.24 | $30.00 | $1,500.00 | |
United
| Professional | $3.48 | $4.53 | $4.80 |