| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.76 | $199.76 | $199.76 | |
Aetna
| Professional | $81.14 | $109.31 | $158.49 | |
BCBS
| Professional | $143.52 | $162.57 | $170.45 | |
Cigna
| Professional | $106.20 | $156.71 | $210.13 | |
Hally Health
| Professional | $116.43 | $179.98 | $263.62 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $110.76 | $142.56 | $239.10 |