| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $193.00 | |
Aetna
| Professional | $17.97 | $19.43 | $64.00 | |
BCBS
| Facility | $31.87 | $31.87 | $31.87 | |
BCBS
| Professional | $14.33 | $16.86 | $16.86 | |
Cigna
| Facility | $54.68 | $54.68 | $54.68 | |
Cigna
| Professional | $23.00 | $56.45 | $80.51 | |
Hally Health
| Professional | $41.09 | $76.89 | $89.71 | |
Molina
| Professional | $30.00 | $32.34 | $2,500.00 | |
United
| Professional | $44.45 | $59.54 | $108.94 |