| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $3.39 | |
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Ambetter
| Professional | $1.20 | $1.82 | $4.07 | |
BCBS
| Facility | $3.24 | $7.41 | $28.84 | |
BCBS
| Professional | $2.34 | $2.34 | $2.34 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Hally Health
| Professional | $3.98 | $6.76 | $199.53 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |