| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.46 | $12.59 | $66.07 | |
Aetna
| Professional | $3.98 | $5.13 | $18.20 | |
BCBS
| Facility | $7.59 | $16.60 | $75.86 | |
BCBS
| Professional | $3.47 | $4.27 | $5.62 | |
Cigna
| Facility | $3.63 | $12.30 | $25.12 | |
Cigna
| Professional | $3.63 | $6.31 | $8.32 | |
Hally Health
| Professional | $6.17 | $10.96 | $60.26 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $7.24 | $7.24 | $7.24 | |
United
| Facility | $3.63 | $5.62 | $11.22 | |
United
| Professional | $2.34 | $3.98 | $5.62 |