| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $53.70 | $53.70 | |
Aetna
| Professional | $30.20 | $53.70 | $66.07 | |
BCBS
| Professional | $53.70 | $100.00 | $100.00 | |
Cigna
| Professional | $32.36 | $32.36 | $83.18 | |
Hally Health
| Professional | $52.48 | $67.61 | $97.72 | |
United
| Professional | $26.30 | $33.11 | $47.86 |