| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.69 | $59.33 | $77.64 | |
Aetna
| Professional | $32.43 | $44.72 | $68.22 | |
Ambetter
| Professional | $73.55 | $73.55 | $73.55 | |
BCBS
| Professional | $88.87 | $88.87 | $97.12 | |
Cigna
| Professional | $46.28 | $74.59 | $110.33 | |
Hally Health
| Professional | $46.83 | $77.23 | $136.13 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $58.98 | $60.88 | $95.62 | |
Molina
| Professional | $32.34 | $70.52 | $100.03 | |
United
| Professional | $37.51 | $57.39 | $84.12 |