| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $12.02 | $22.91 | $42.66 | |
BCBS
| Professional | $3.47 | $3.47 | $21.38 | |
Cigna
| Professional | $7.08 | $20.89 | $42.66 | |
Hally Health
| Professional | $21.38 | $42.66 | $61.66 | |
United
| Professional | $14.45 | $20.89 | $41.69 |