| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $19.05 | $23.99 | $79.43 | |
BCBS
| Professional | $18.20 | $20.42 | $20.42 | |
Cigna
| Professional | $13.80 | $13.80 | $29.51 | |
Hally Health
| Professional | $31.62 | $47.86 | $147.91 | |
United
| Professional | $11.22 | $16.22 | $30.90 |