| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.87 | $228.53 | $367.51 | |
BCBS
| Professional | $27.56 | $27.93 | $27.93 | |
Cigna
| Facility | $243.78 | $243.78 | $498.87 | |
Cigna
| Professional | $207.21 | $251.09 | $430.88 | |
Hally Health
| Professional | $31.24 | $36.75 | $73.94 | |
Molina
| Professional | $405.79 | $405.79 | $405.79 | |
United
| Professional | $169.54 | $242.43 | $464.83 |