| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $51.29 | $91.20 | $104.71 | |
BCBS
| Professional | $93.33 | $173.78 | $173.78 | |
Cigna
| Professional | $51.29 | $51.29 | $141.25 | |
Hally Health
| Professional | $85.11 | $114.82 | $162.18 | |
United
| Professional | $41.69 | $54.95 | $74.13 |