| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.51 | $31.51 | $31.51 | |
Aetna
| Professional | $9.36 | $22.51 | $22.51 | |
BCBS
| Professional | $12.00 | $13.20 | $13.20 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $20.89 | $134.28 | $192.19 | |
Hally Health
| Professional | $66.09 | $106.40 | $135.10 |