| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $19.95 | $36.31 | $45.71 | |
BCBS
| Professional | $38.90 | $72.44 | $72.44 | |
Cigna
| Professional | $21.88 | $21.88 | $60.26 | |
Hally Health
| Professional | $35.48 | $48.98 | $66.07 | |
United
| Professional | $17.78 | $22.91 | $32.36 |