| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $0.03 | $0.03 | $64.00 | |
Cigna
| Professional | $6.35 | $6.35 | $6.35 | |
Hally Health
| Professional | $100.00 | $125.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $2,500.00 |