| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
Aetna
| Professional | $18.20 | $23.99 | $46.77 | |
Cigna
| Professional | $11.48 | $16.22 | $44.67 | |
Hally Health
| Professional | $29.51 | $45.71 | $69.18 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $16.98 | $23.99 | $40.74 |