| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.77 | $56.14 | $91.58 | |
Aetna
| Professional | $27.02 | $28.77 | $33.34 | |
BCBS
| Facility | $41.05 | $49.12 | $62.10 | |
Cigna
| Facility | $44.48 | $76.48 | $160.82 | |
Cigna
| Professional | $42.11 | $42.46 | $50.88 | |
Hally Health
| Professional | $36.84 | $50.88 | $93.97 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $47.72 | $47.72 | $51.58 | |
United
| Facility | $35.09 | $36.84 | $86.67 | |
United
| Professional | $14.74 | $21.05 | $36.88 |