| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.28 | $72.28 | $72.28 | |
Aetna
| Professional | $58.11 | $68.09 | $83.67 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $69.29 | $94.05 | $151.66 | |
Hally Health
| Professional | $0.85 | $1.25 | $116.98 | |
United
| Professional | $62.88 | $86.45 | $145.47 |