| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $26.92 | $52.48 | $63.10 | |
BCBS
| Professional | $61.66 | $117.49 | $117.49 | |
Cigna
| Professional | $29.51 | $29.51 | $95.50 | |
Hally Health
| Professional | $52.48 | $67.61 | $93.33 | |
United
| Professional | $23.99 | $35.48 | $50.12 |