| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $10.00 | $389.05 | |
Aetna
| Professional | $6.03 | $15.14 | $45.71 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $15.49 | $15.49 | $15.49 |