| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $85.11 | $158.49 | $208.93 | |
BCBS
| Professional | $204.17 | $380.19 | $380.19 | |
Cigna
| Professional | $91.20 | $91.20 | $309.03 | |
Hally Health
| Professional | $169.82 | $218.78 | $281.84 | |
United
| Professional | $74.13 | $117.49 | $162.18 |