| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.51 | $4.51 | $4.51 | |
Aetna
| Professional | $2.39 | $3.92 | $4.51 | |
BCBS
| Facility | $6.09 | $17.07 | $50.57 | |
BCBS
| Professional | $2.99 | $3.74 | $3.74 | |
Cigna
| Professional | $1.61 | $1.61 | $1.61 | |
Hally Health
| Professional | $3.74 | $5.24 | $62.43 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $4.86 | $4.86 | $4.86 | |
United
| Professional | $2.36 | $5.24 | $10.08 |