| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.83 | $36.83 | $36.83 | |
Aetna
| Professional | $9.36 | $26.31 | $26.31 | |
BCBS
| Professional | $13.75 | $15.15 | $15.15 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $110.04 | $145.26 | $157.50 | |
Hally Health
| Professional | $123.27 | $204.75 | $269.45 |