| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $25.12 | $44.67 | $53.70 | |
BCBS
| Professional | $45.71 | $85.11 | $85.11 | |
Cigna
| Professional | $24.55 | $24.55 | $69.18 | |
Hally Health
| Professional | $46.77 | $56.23 | $67.61 | |
United
| Professional | $19.95 | $27.54 | $36.31 |