| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $18.50 | $20.29 | $30.54 | |
Cigna
| Professional | $7.02 | $19.95 | $36.72 | |
Hally Health
| Professional | $24.51 | $37.25 | $61.18 | |
Molina
| Professional | $32.68 | $35.32 | $36.04 | |
United
| Professional | $14.42 | $19.61 | $36.04 |