| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.97 | $227.14 | $367.18 | |
BCBS
| Professional | $28.22 | $28.59 | $28.59 | |
Cigna
| Facility | $243.17 | $243.17 | $481.95 | |
Cigna
| Professional | $206.69 | $250.47 | $436.13 | |
Hally Health
| Professional | $33.86 | $37.61 | $68.79 | |
Molina
| Professional | $377.46 | $377.46 | $377.46 | |
United
| Professional | $161.47 | $247.61 | $425.55 |