| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.52 | $58.52 | $58.52 | |
Aetna
| Professional | $16.91 | $19.94 | $30.38 | |
BCBS
| Professional | $25.57 | $33.97 | $41.48 | |
Cigna
| Professional | $22.32 | $22.32 | $35.72 | |
Hally Health
| Professional | $27.62 | $39.13 | $80.80 | |
Molina
| Professional | $32.34 | $32.34 | $36.76 | |
United
| Professional | $16.44 | $27.97 | $43.91 |