| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $23.99 | $44.67 | $54.95 | |
BCBS
| Professional | $45.71 | $85.11 | $85.11 | |
Cigna
| Professional | $25.70 | $25.70 | $69.18 | |
Hally Health
| Professional | $41.69 | $54.95 | $69.18 | |
United
| Professional | $20.89 | $26.92 | $38.02 |