| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.24 | $121.06 | $194.56 | |
BCBS
| Professional | $18.88 | $18.88 | $18.88 | |
Cigna
| Facility | $123.59 | $123.59 | $286.85 | |
Cigna
| Professional | $105.05 | $123.59 | $222.38 | |
Hally Health
| Professional | $16.54 | $19.46 | $39.32 | |
Molina
| Professional | $21.90 | $29.19 | $215.03 | |
United
| Professional | $95.59 | $129.40 | $235.28 |