| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.03 | $0.03 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $15.69 | $15.85 | $19.62 | |
Hally Health
| Professional | $100.00 | $147.63 | $253.21 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |