| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.14 | $0.21 | $0.33 | |
Aetna
| Professional | $0.14 | $0.14 | $0.15 | |
Cigna
| Professional | $0.11 | $161.63 | $202.03 | |
Hally Health
| Professional | $0.19 | $120.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $0.63 | $0.72 | $0.76 |