| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Hally Health
| Professional | $24.71 | $35.38 | $72.78 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $28.74 | $29.38 | $31.72 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |