| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $12.88 | $40.74 | $60.26 | |
BCBS
| Professional | $3.47 | $34.67 | $38.90 | |
Cigna
| Professional | $7.94 | $24.55 | $77.62 | |
Hally Health
| Professional | $28.18 | $67.61 | $95.50 | |
United
| Professional | $14.79 | $30.20 | $69.18 |