| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
Cigna
| Professional | $0.17 | $0.38 | $0.47 | |
Hally Health
| Professional | $8.32 | $11.22 | $14.45 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $0.05 | $0.13 | $0.33 | |
United
| Professional | $0.13 | $0.13 | $0.23 |