| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.18 | $40.00 | $62.74 | |
BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Cigna
| Facility | $42.49 | $42.49 | $83.01 | |
Cigna
| Professional | $36.11 | $43.76 | $74.63 | |
Hally Health
| Professional | $5.66 | $6.66 | $10.11 | |
Molina
| Professional | $56.51 | $56.51 | $56.51 | |
United
| Professional | $26.43 | $37.07 | $81.34 |