| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.52 | $28.49 | $192.00 | |
Cigna
| Professional | $34.09 | $39.31 | $42.86 | |
Hally Health
| Professional | $23.57 | $36.21 | $59.64 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 | |
United
| Professional | $24.09 | $30.05 | $46.03 |