| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,227.04 | $1,227.04 | $1,507.00 | |
Cigna
| Professional | $180.84 | $180.84 | $180.84 | |
Hally Health
| Professional | $150.00 | $1,082.35 | $1,082.35 | |
Medica
| Facility | $1,227.04 | $1,472.45 | $2,196.40 |