| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.95 | $1.43 | $2.20 | |
Aetna
| Professional | $0.95 | $0.95 | $1.02 | |
Cigna
| Professional | $0.79 | $1.12 | $2.92 | |
Hally Health
| Professional | $30.14 | $41.84 | $54.02 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $1.04 | $1.04 | $2.86 |