| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.08 | $7.94 | $10.96 | |
Cigna
| Professional | $9.12 | $9.12 | $13.18 | |
Hally Health
| Professional | $39.81 | $48.98 | $61.66 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $4.79 | $7.24 | $12.59 |