| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.56 | $232.54 | $232.54 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Hally Health
| Professional | $47.24 | $50.93 | $100.60 | |
Medica
| Facility | $229.10 | $232.54 | $358.11 |