| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.21 | $33.21 | $33.21 | |
Aetna
| Professional | $24.84 | $29.66 | $35.40 | |
Cigna
| Facility | $40.07 | $40.07 | $40.07 | |
Cigna
| Professional | $29.76 | $29.76 | $30.93 | |
Hally Health
| Professional | $29.63 | $36.60 | $69.73 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $40.08 | $43.17 | $45.32 | |
Molina
| Professional | $32.34 | $32.34 | $51.24 | |
United
| Professional | $33.65 | $44.03 | $71.14 |