| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.87 | $130.87 | $130.87 | |
Aetna
| Professional | $48.01 | $71.45 | $101.04 | |
BCBS
| Professional | $86.11 | $97.54 | $115.45 | |
Cigna
| Professional | $66.83 | $95.04 | $127.44 | |
Hally Health
| Professional | $71.34 | $146.08 | $361.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $72.13 | $88.59 | $170.94 |