| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.08 | $40.08 | $65.30 | |
Aetna
| Professional | $36.34 | $40.08 | $70.56 | |
Cigna
| Professional | $14.86 | $14.86 | $60.94 | |
Hally Health
| Professional | $37.58 | $40.21 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |