| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.03 | $25.71 | |
Aetna
| Professional | $0.02 | $0.02 | $21.83 | |
Cigna
| Facility | $0.47 | $0.47 | $242.33 | |
Cigna
| Professional | $23.95 | $26.34 | $30.42 | |
Hally Health
| Professional | $75.72 | $103.77 | $176.72 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $10.16 | $14.51 | $24.18 |