| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,548.82 | $1,548.82 | $1,548.82 | |
Cigna
| Professional | $660.69 | $660.69 | $660.69 | |
Hally Health
| Professional | $151.36 | $199.53 | $275.42 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |