| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $0.68 | $1.51 | |
Aetna
| Professional | $0.45 | $0.45 | $0.48 | |
Cigna
| Facility | $3.85 | $3.85 | $3.85 | |
Cigna
| Professional | $0.75 | $3.85 | $3.85 | |
Hally Health
| Professional | $20.60 | $28.15 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $3.99 | $4.53 | $4.80 |