| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $30.20 | $52.48 | $63.10 | |
BCBS
| Professional | $53.70 | $100.00 | $100.00 | |
Cigna
| Professional | $30.90 | $30.90 | $81.28 | |
Hally Health
| Professional | $48.98 | $66.07 | $89.13 | |
United
| Professional | $25.12 | $32.36 | $46.77 |