| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.46 | $0.46 | $1.86 | |
Aetna
| Professional | $0.46 | $0.46 | $0.48 | |
Cigna
| Facility | $3.85 | $3.85 | $3.85 | |
Cigna
| Professional | $0.94 | $3.85 | $3.85 | |
Medcost
| Facility | $0.38 | $0.48 | $0.56 | |
Medcost
| Professional | $0.09 | $0.09 | $0.48 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $1.81 | $4.53 | $4.53 |