| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $19.05 | $21.88 | $74.13 | |
BCBS
| Professional | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $22.39 | $22.39 | $35.48 | |
Hally Health
| Professional | $22.91 | $34.67 | $123.03 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $16.60 | $27.54 | $43.65 |