| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.39 | $22.91 | $22.91 | |
Aetna
| Professional | $7.65 | $13.95 | $22.91 | |
BCBS
| Facility | $89.30 | $89.30 | $89.30 | |
Cigna
| Facility | $26.78 | $26.78 | $26.78 | |
Cigna
| Professional | $21.43 | $21.43 | $34.77 | |
Hally Health
| Professional | $18.18 | $23.64 | $67.90 | |
Molina
| Professional | $32.34 | $32.34 | $36.22 | |
United
| Professional | $9.66 | $15.60 | $30.47 |