| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $15.14 | $23.99 | $28.84 | |
Cigna
| Professional | $19.05 | $61.66 | $72.44 | |
Hally Health
| Professional | $120.23 | $346.74 | $346.74 | |
United
| Professional | $25.12 | $31.62 | $53.70 |