| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.02 | $19.02 | $20.21 | |
Cigna
| Facility | $19.09 | $19.09 | $20.51 | |
Cigna
| Professional | $22.26 | $22.26 | $22.26 | |
Hally Health
| Professional | $150.00 | $150.00 | $275.00 | |
Medica
| Facility | $19.02 | $21.30 | $100.00 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |