| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $1,174.90 | $1,412.54 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $3,090.30 | |
Hally Health
| Facility | $100.00 | $199.53 | $95,499.26 | |
Molina
| Facility | $6,165.95 | $8,128.31 | $8,912.51 |