| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $58.88 | $58.88 | |
Aetna
| Professional | $33.11 | $57.54 | $69.18 | |
BCBS
| Professional | $58.88 | $109.65 | $109.65 | |
Cigna
| Professional | $33.11 | $33.11 | $89.13 | |
Hally Health
| Professional | $53.70 | $72.44 | $97.72 | |
United
| Professional | $26.92 | $34.67 | $48.98 |