| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.52 | $36.32 | $281.14 | |
Aetna
| Professional | $10.84 | $12.15 | $32.04 | |
BCBS
| Facility | $20.48 | $43.91 | $188.77 | |
BCBS
| Professional | $3.50 | $10.88 | $14.13 | |
Cigna
| Facility | $13.24 | $33.78 | $65.52 | |
Cigna
| Professional | $8.53 | $17.35 | $21.69 | |
Hally Health
| Professional | $14.18 | $22.72 | $87.47 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $18.37 | $18.37 | $18.37 | |
Molina
| Professional | $5.18 | $7.77 | $17.66 | |
United
| Professional | $5.93 | $9.22 | $17.60 |