| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $177.83 | $177.83 | |
Aetna
| Professional | $85.11 | $162.18 | $199.53 | |
BCBS
| Professional | $173.78 | $331.13 | $331.13 | |
Cigna
| Professional | $91.20 | $91.20 | $269.15 | |
Hally Health
| Professional | $162.18 | $218.78 | $275.42 | |
United
| Professional | $74.13 | $107.15 | $144.54 |