| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $25.12 | $25.12 | $25.70 | |
Ambetter
| Professional | $223.87 | $223.87 | $302.00 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $18.62 | $48.98 | $87.10 | |
Hally Health
| Professional | $44.67 | $177.83 | $257.04 |