| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $22.91 | $36.31 | $39.81 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Hally Health
| Professional | $120.23 | $346.74 | $346.74 | |
United
| Professional | $33.88 | $42.66 | $69.18 |