| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.10 | $0.15 | $0.22 | |
Aetna
| Professional | $0.10 | $0.10 | $0.11 | |
Cigna
| Professional | $0.17 | $0.38 | $0.47 | |
Hally Health
| Professional | $8.24 | $11.26 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $0.13 | $0.13 | $0.28 |