| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $83.18 | $114.82 | |
Aetna
| Professional | $75.86 | $87.10 | $89.13 | |
Cigna
| Professional | $79.43 | $81.28 | $100.00 | |
Hally Health
| Professional | $125.89 | $125.89 | $151.36 | |
Medica
| Facility | $69.18 | $83.18 | $141.25 |