| 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 | $21.48 | $21.69 | $26.85 | |
Hally Health
| Professional | $62.16 | $87.40 | $145.06 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |