| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.15 | $1.74 | $2.68 | |
Aetna
| Professional | $1.15 | $1.19 | $1.32 | |
Cigna
| Facility | $1.23 | $1.23 | $1.23 | |
Cigna
| Professional | $1.23 | $1.23 | $1.23 | |
Hally Health
| Professional | $9.88 | $13.51 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $0.17 | $0.17 | $0.32 |