| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $52.48 | $85.11 | $100.00 | |
BCBS
| Professional | $85.11 | $158.49 | $158.49 | |
Cigna
| Professional | $51.29 | $51.29 | $131.83 | |
Hally Health
| Professional | $89.13 | $128.82 | $169.82 | |
United
| Professional | $41.69 | $52.48 | $70.79 |