| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.99 | $42.99 | $42.99 | |
Aetna
| Professional | $14.14 | $15.06 | $17.45 | |
Cigna
| Professional | $21.27 | $22.33 | $26.75 | |
Hally Health
| Professional | $20.21 | $26.64 | $46.77 | |
Molina
| Professional | $24.98 | $27.00 | $27.56 | |
United
| Professional | $7.72 | $11.02 | $18.89 |