| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $27.54 | |
Aetna
| Professional | $10.96 | $16.98 | $25.70 | |
BCBS
| Facility | $31.62 | $60.26 | $234.42 | |
Cigna
| Professional | $10.96 | $12.02 | $12.02 | |
Hally Health
| Professional | $22.91 | $30.90 | $64.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $34.67 | $34.67 | $34.67 | |
United
| Facility | $13.80 | $21.38 | $27.54 | |
United
| Professional | $8.91 | $13.49 | $19.05 |