| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.54 | $122.42 | $291.86 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Hally Health
| Professional | $196.87 | $203.85 | $336.37 | |
Medica
| Facility | $122.42 | $122.42 | $206.89 |