| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.57 | $29.57 | $29.57 | |
BCBS
| Professional | $58.00 | $58.00 | $58.00 | |
Hally Health
| Professional | $80.65 | $98.20 | $100.00 | |
United
| Professional | $33.00 | $36.36 | $55.04 |