| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $77.62 | |
Aetna
| Professional | $45.71 | $77.62 | $89.13 | |
BCBS
| Professional | $77.62 | $147.91 | $147.91 | |
Cigna
| Professional | $44.67 | $44.67 | $120.23 | |
Hally Health
| Professional | $70.79 | $93.33 | $117.49 | |
United
| Professional | $36.31 | $46.77 | $64.57 |