| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $123.03 | |
Aetna
| Professional | $47.86 | $61.66 | $85.11 | |
BCBS
| Professional | $83.18 | $97.72 | $104.71 | |
Cigna
| Professional | $69.18 | $97.72 | $131.83 | |
Hally Health
| Professional | $74.13 | $186.21 | $288.40 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $69.18 | $93.33 | $147.91 |