| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.10 | $284.10 | $284.10 | |
Aetna
| Professional | $91.20 | $150.75 | $217.69 | |
BCBS
| Professional | $159.44 | $180.60 | $214.00 | |
Cigna
| Professional | $146.86 | $183.86 | $235.06 | |
Hally Health
| Professional | $130.63 | $273.95 | $360.61 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $157.02 | $190.57 | $398.91 |