| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $58.88 | $102.33 | |
Aetna
| Professional | $21.88 | $26.92 | $38.02 | |
BCBS
| Facility | $40.74 | $45.71 | $54.95 | |
Cigna
| Facility | $21.88 | $63.10 | $173.78 | |
Cigna
| Professional | $39.81 | $41.69 | $50.12 | |
Hally Health
| Professional | $35.48 | $47.86 | $125.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $33.88 | $33.88 | $67.61 | |
United
| Professional | $14.13 | $20.42 | $33.88 |