| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $2,277.67 | |
Cigna
| Professional | $198.37 | $198.37 | $744.12 | |
Hally Health
| Professional | $120.00 | $200.00 | $345.40 | |
Molina
| Professional | $30.00 | $1,500.00 | $2,500.00 |