| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $37.15 | $66.07 | $77.62 | |
BCBS
| Professional | $66.07 | $123.03 | $123.03 | |
Cigna
| Professional | $37.15 | $37.15 | $102.33 | |
Hally Health
| Professional | $60.26 | $77.62 | $104.71 | |
United
| Professional | $30.20 | $39.81 | $54.95 |