| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.56 | $42.56 | $42.56 | |
Aetna
| Professional | $13.33 | $14.62 | $16.44 | |
Cigna
| Professional | $7.97 | $7.97 | $19.88 | |
Hally Health
| Professional | $20.44 | $30.92 | $64.16 | |
Molina
| Professional | $24.74 | $26.74 | $27.29 | |
United
| Professional | $6.35 | $9.07 | $22.77 |