| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.28 | $34.28 | $34.28 | |
Aetna
| Professional | $7.00 | $12.01 | $17.57 | |
BCBS
| Professional | $10.11 | $11.28 | $11.28 | |
Cigna
| Professional | $4.01 | $12.63 | $22.34 | |
Hally Health
| Professional | $14.58 | $21.98 | $37.29 | |
Molina
| Professional | $19.92 | $21.54 | $21.98 | |
United
| Professional | $7.55 | $12.45 | $21.98 |