| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.05 | $1.05 | $1.41 | |
Cigna
| Facility | $0.28 | $0.28 | $1.15 | |
Cigna
| Professional | $0.28 | $0.28 | $0.36 | |
Molina
| Professional | $32.36 | $33.11 | $75.86 | |
Pacific Source
| Facility | $0.37 | $0.37 | $0.37 | |
United
| Professional | $0.39 | $0.39 | $0.39 |