| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $87.10 | |
Aetna
| Professional | $52.48 | $87.10 | $114.82 | |
BCBS
| Professional | $87.10 | $162.18 | $162.18 | |
Cigna
| Professional | $48.98 | $48.98 | $134.90 | |
Hally Health
| Professional | $81.28 | $109.65 | $144.54 | |
United
| Professional | $39.81 | $52.48 | $72.44 |