| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.20 | $345.20 | $345.20 | |
Aetna
| Professional | $128.34 | $183.34 | $242.50 | |
BCBS
| Professional | $226.72 | $256.81 | $269.43 | |
Cigna
| Professional | $182.75 | $247.95 | $332.48 | |
Hally Health
| Professional | $183.83 | $287.31 | $442.19 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $191.39 | $236.29 | $415.86 |