| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.68 | $12.73 | $75.44 | |
Aetna
| Professional | $2.95 | $4.86 | $7.08 | |
BCBS
| Facility | $8.96 | $19.21 | $78.04 | |
BCBS
| Professional | $3.50 | $4.29 | $5.57 | |
Cigna
| Facility | $5.82 | $13.64 | $25.31 | |
Cigna
| Professional | $3.64 | $6.61 | $8.40 | |
Hally Health
| Professional | $5.85 | $10.30 | $48.49 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $7.24 | $7.24 | $7.24 | |
Molina
| Professional | $2.79 | $3.82 | $6.96 | |
United
| Professional | $2.34 | $3.34 | $6.51 |