| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.56 | $68.56 | $68.56 | |
Aetna
| Professional | $20.71 | $24.45 | $38.54 | |
Cigna
| Professional | $11.60 | $14.65 | $45.11 | |
Hally Health
| Professional | $29.38 | $42.74 | $72.01 | |
Molina
| Professional | $19.73 | $32.34 | $43.07 | |
United
| Professional | $17.07 | $25.07 | $40.21 |