| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $93.33 | $794.33 | |
Aetna
| Professional | $15.14 | $41.69 | $144.54 | |
Ambetter
| Professional | $8.91 | $15.14 | $20.89 | |
BCBS
| Facility | $23.99 | $58.88 | $186.21 | |
BCBS
| Professional | $3.47 | $12.30 | $13.80 | |
Cigna
| Facility | $11.75 | $39.81 | $81.28 | |
Cigna
| Professional | $11.75 | $20.89 | $27.54 | |
Hally Health
| Professional | $19.50 | $34.67 | $177.83 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $23.44 | $23.44 | $23.44 | |
United
| Facility | $11.75 | $17.78 | $35.48 | |
United
| Professional | $7.59 | $12.30 | $17.78 |