| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.56 | $27.56 | $27.56 | |
BCBS
| Professional | $100.00 | $114.00 | $114.00 | |
Hally Health
| Professional | $63.48 | $100.00 | $142.34 | |
United
| Professional | $30.75 | $33.89 | $51.29 |