| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.08 | $0.11 | |
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $1.31 | |
Hally Health
| Professional | $6.59 | $9.02 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $0.02 | $0.02 | $0.05 |