| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.59 | $10.59 | $10.59 | |
Aetna
| Professional | $8.00 | $10.59 | $10.59 | |
Cigna
| Professional | $29.25 | $29.54 | $36.56 | |
Hally Health
| Professional | $12.84 | $19.41 | $24.21 | |
Medica
| Facility | $8.00 | $90.00 | $90.00 |