| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.05 | $237.05 | $265.58 | |
Aetna
| Professional | $96.72 | $96.72 | $96.72 | |
Cigna
| Professional | $118.88 | $118.88 | $148.59 | |
Hally Health
| Professional | $150.00 | $273.12 | $273.12 | |
Medica
| Facility | $148.94 | $215.67 | $232.57 |