| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.24 | $1.24 | $1.77 | |
Aetna
| Professional | $0.92 | $1.26 | $1.96 | |
Cigna
| Professional | $1.38 | $1.38 | $1.38 | |
Hally Health
| Professional | $1.62 | $2.04 | $150.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 | |
United
| Professional | $0.90 | $1.35 | $2.38 |