| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.80 | $17.80 | $17.80 | |
BCBS
| Professional | $114.00 | $114.00 | $250.00 | |
Hally Health
| Professional | $67.26 | $100.00 | $186.55 | |
United
| Professional | $19.87 | $21.90 | $33.14 |