| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.64 | $85.64 | $175.00 | |
Aetna
| Professional | $28.03 | $44.92 | $61.06 | |
BCBS
| Professional | $50.50 | $57.20 | $75.09 | |
Cigna
| Professional | $40.79 | $56.18 | $75.33 | |
Hally Health
| Professional | $42.23 | $76.68 | $123.57 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $47.24 | $58.36 | $101.13 |