| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.56 | $42.56 | $42.56 | |
Aetna
| Professional | $13.33 | $14.71 | $21.99 | |
Cigna
| Professional | $7.02 | $19.95 | $27.80 | |
Hally Health
| Professional | $20.66 | $31.51 | $58.12 | |
Molina
| Professional | $24.74 | $26.74 | $27.29 | |
United
| Professional | $9.07 | $15.12 | $25.70 |