| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $60.26 | $69.18 | $91.20 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $67.61 | $93.33 | $141.25 | |
Hally Health
| Professional | $0.85 | $1.26 | $117.49 | |
United
| Facility | $63.10 | $63.10 | $63.10 | |
United
| Professional | $63.10 | $87.10 | $138.04 |