| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.82 | $18.41 | $23.68 | |
Aetna
| Professional | $10.39 | $12.10 | $21.19 | |
BCBS
| Facility | $80.19 | $132.08 | $264.52 | |
BCBS
| Professional | $12.73 | $20.21 | $23.61 | |
Cigna
| Professional | $11.87 | $14.92 | $22.78 | |
Hally Health
| Professional | $9.61 | $14.64 | $58.51 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $13.74 | $13.90 | $14.92 | |
Molina
| Professional | $7.38 | $32.34 | $32.34 | |
United
| Professional | $10.72 | $15.27 | $24.34 |