| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.26 | $6.41 | $6.41 | |
Aetna
| Professional | $4.16 | $5.50 | $6.41 | |
BCBS
| Facility | $8.00 | $14.15 | $75.25 | |
Cigna
| Professional | $5.50 | $5.50 | $5.50 | |
Hally Health
| Professional | $6.74 | $9.44 | $19.80 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $8.76 | $8.76 | $8.76 | |
United
| Facility | $5.39 | $6.74 | $6.74 | |
United
| Professional | $3.36 | $5.32 | $9.44 |