| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $30.20 | $38.02 | $61.66 | |
BCBS
| Professional | $52.48 | $61.66 | $67.61 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $45.71 | $61.66 | $81.28 | |
Hally Health
| Professional | $46.77 | $102.33 | $117.49 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $47.86 | $61.66 | $107.15 |