| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $60.26 | $104.71 | $123.03 | |
BCBS
| Professional | $104.71 | $194.98 | $194.98 | |
Cigna
| Professional | $61.66 | $61.66 | $162.18 | |
Hally Health
| Professional | $97.72 | $131.83 | $173.78 | |
United
| Professional | $50.12 | $64.57 | $91.20 |