| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.03 | $108.00 | $144.16 | |
BCBS
| Professional | $13.60 | $13.60 | $13.60 | |
Cigna
| Facility | $64.17 | $64.17 | $151.38 | |
Cigna
| Professional | $14.75 | $64.17 | $202.50 | |
Hally Health
| Professional | $20.16 | $100.00 | $200.00 | |
Molina
| Professional | $20.39 | $27.20 | $174.50 | |
United
| Professional | $65.59 | $96.66 | $162.16 |