| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.68 | $44.60 | $337.56 | |
Aetna
| Professional | $12.06 | $16.37 | $32.15 | |
BCBS
| Facility | $32.54 | $56.49 | $231.28 | |
BCBS
| Professional | $3.50 | $16.64 | $18.55 | |
Cigna
| Facility | $19.92 | $57.67 | $111.68 | |
Cigna
| Professional | $12.41 | $28.08 | $36.65 | |
Hally Health
| Professional | $25.32 | $37.36 | $120.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $31.34 | $31.34 | $31.34 | |
Molina
| Professional | $7.51 | $13.26 | $17.72 | |
United
| Professional | $10.13 | $14.47 | $24.83 |