| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.47 | $44.51 | $75.41 | |
Aetna
| Professional | $28.46 | $37.86 | $52.07 | |
BCBS
| Facility | $133.65 | $357.30 | $692.10 | |
BCBS
| Professional | $40.77 | $53.54 | $62.73 | |
Cigna
| Professional | $38.97 | $54.24 | $81.96 | |
Hally Health
| Professional | $34.32 | $55.95 | $120.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $42.89 | $44.07 | $68.30 | |
Molina
| Professional | $32.34 | $50.46 | $77.23 | |
United
| Professional | $42.62 | $61.27 | $92.99 |