| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $48.98 | $48.98 | |
Aetna
| Professional | $0.95 | $346.74 | $346.74 | |
Cigna
| Professional | $6.92 | $6.92 | $6.92 | |
Hally Health
| Professional | $151.36 | $331.13 | $331.13 | |
Medica
| Facility | $0.52 | $0.79 | $100.00 |