| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $8.32 | $10.59 | $10.59 | |
Cigna
| Facility | $82.00 | $82.00 | $82.00 | |
Cigna
| Professional | $4.83 | $25.55 | $36.56 | |
Hally Health
| Professional | $9.55 | $18.45 | $25.59 |