| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.09 | $0.10 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.06 | $0.06 | $0.06 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |