| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.02 | $124.02 | $124.02 | |
Aetna
| Professional | $48.99 | $67.98 | $95.86 | |
BCBS
| Professional | $87.50 | $97.97 | $105.20 | |
Cigna
| Professional | $74.87 | $97.78 | $130.84 | |
Hally Health
| Professional | $73.31 | $159.87 | $285.61 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $68.69 | $90.75 | $145.41 |