| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.32 | $30.85 | $30.85 | |
Cigna
| Professional | $71.79 | $128.44 | $130.13 | |
Hally Health
| Professional | $34.19 | $111.84 | $231.36 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |