| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.36 | $3.54 | $5.46 | |
Aetna
| Professional | $2.36 | $2.36 | $2.54 | |
Cigna
| Facility | $1.73 | $1.73 | $1.73 | |
Cigna
| Professional | $1.50 | $1.73 | $1.73 | |
Hally Health
| Professional | $24.72 | $33.78 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $1.89 | $1.89 | $1.89 | |
United
| Professional | $1.29 | $1.52 | $1.61 |