| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.18 | $40.18 | $156.31 | |
Aetna
| Professional | $75.65 | $75.65 | $178.64 | |
Cigna
| Professional | $3,744.36 | $4,734.76 | $5,918.45 | |
Hally Health
| Professional | $150.00 | $1,570.00 | $1,570.00 |