| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.46 | $56.58 | $56.58 | |
Aetna
| Professional | $36.34 | $36.34 | $56.58 | |
Cigna
| Professional | $48.75 | $49.24 | $60.94 | |
Hally Health
| Professional | $32.82 | $36.95 | $62.43 | |
Medica
| Facility | $40.47 | $40.86 | $96.19 |