| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,932.70 | $2,006.39 | $2,022.64 | |
Aetna
| Professional | $1,792.34 | $1,851.62 | $2,086.44 | |
Cigna
| Professional | $2,349.75 | $2,490.73 | $2,984.18 | |
Hally Health
| Professional | $345.40 | $345.40 | $345.40 | |
Molina
| Professional | $100.00 | $2,500.00 | $2,500.00 |