| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.51 | $142.26 | $142.26 | |
Cigna
| Professional | $66.00 | $66.00 | $66.00 | |
Hally Health
| Professional | $171.73 | $202.03 | $285.20 | |
Medica
| Facility | $130.51 | $142.26 | $219.08 |