| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.37 | $59.37 | $59.37 | |
Aetna
| Professional | $19.79 | $21.82 | $43.64 | |
BCBS
| Professional | $3.50 | $17.51 | $19.53 | |
Cigna
| Professional | $12.33 | $34.22 | $45.51 | |
Hally Health
| Professional | $30.44 | $53.28 | $160.29 | |
Molina
| Professional | $34.50 | $37.29 | $38.06 | |
United
| Professional | $15.22 | $26.13 | $45.39 |