| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $56.23 | $97.72 | |
Aetna
| Professional | $38.02 | $60.26 | $75.86 | |
Cigna
| Professional | $89.13 | $97.72 | $147.91 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $21.88 | $54.95 | $109.65 | |
United
| Professional | $61.66 | $79.43 | $117.49 |