| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.24 | $34.24 | $34.24 | |
Aetna
| Professional | $24.46 | $24.46 | $24.46 | |
BCBS
| Professional | $19.00 | $19.00 | $19.00 | |
Cigna
| Facility | $250.00 | $250.00 | $250.00 | |
Cigna
| Professional | $58.98 | $66.48 | $95.16 | |
Hally Health
| Professional | $42.77 | $119.85 | $202.65 |