| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.56 | $113.14 | $113.14 | |
Aetna
| Professional | $80.36 | $91.93 | $95.00 | |
Cigna
| Professional | $46.50 | $46.97 | $58.13 | |
Hally Health
| Professional | $142.66 | $142.66 | $150.00 | |
Medica
| Facility | $66.67 | $81.59 | $138.69 |