| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.98 | $44.98 | $44.98 | |
Cigna
| Professional | $21.53 | $21.53 | $21.53 | |
Hally Health
| Professional | $30.09 | $100.00 | $670.26 | |
United
| Professional | $17.21 | $23.83 | $39.75 |