| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.01 | $278.01 | $278.01 | |
Aetna
| Professional | $118.40 | $157.86 | $215.49 | |
BCBS
| Professional | $208.17 | $235.79 | $247.55 | |
Cigna
| Professional | $147.09 | $227.25 | $304.72 | |
Hally Health
| Professional | $169.17 | $252.30 | $483.97 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $154.13 | $190.12 | $335.31 |