| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $436.52 | |
Aetna
| Professional | $102.33 | $131.83 | $416.87 | |
BCBS
| Professional | $147.91 | $181.97 | $257.04 | |
Cigna
| Professional | $63.10 | $95.50 | $257.04 | |
Hally Health
| Professional | $154.88 | $239.88 | $660.69 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $95.50 | $162.18 | $269.15 |