| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $16.42 | $16.42 | |
Aetna
| Professional | $10.67 | $14.09 | $16.42 | |
BCBS
| Facility | $19.55 | $33.96 | $192.77 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Hally Health
| Professional | $17.25 | $24.15 | $100.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $22.43 | $22.43 | $22.43 | |
United
| Professional | $8.61 | $13.63 | $24.18 |