| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $102.33 | |
Aetna
| Professional | $45.71 | $93.33 | $107.15 | |
BCBS
| Professional | $102.33 | $190.55 | $190.55 | |
Cigna
| Professional | $48.98 | $48.98 | $154.88 | |
Hally Health
| Professional | $87.10 | $114.82 | $151.36 | |
United
| Professional | $39.81 | $58.88 | $81.28 |