| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.26 | $8.26 | $8.26 | |
Aetna
| Professional | $4.16 | $7.23 | $8.26 | |
BCBS
| Facility | $10.77 | $30.00 | $92.42 | |
BCBS
| Professional | $5.29 | $6.61 | $6.61 | |
Cigna
| Professional | $2.89 | $2.89 | $2.89 | |
Hally Health
| Professional | $6.61 | $9.92 | $73.13 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $8.59 | $8.59 | $8.59 | |
United
| Professional | $4.30 | $11.69 | $19.72 |