| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.42 | $62.77 | $82.24 | |
Cigna
| Professional | $89.78 | $89.78 | $89.78 | |
Hally Health
| Professional | $120.00 | $200.00 | $345.40 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 | |
United
| Professional | $55.26 | $72.30 | $117.03 |