| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.16 | $50.38 | $91.27 | |
BCBS
| Professional | $34.11 | $61.71 | $101.90 | |
Cigna
| Professional | $31.46 | $54.20 | $104.38 | |
Hally Health
| Professional | $38.58 | $82.17 | $384.96 | |
Hally Health
| Professional | $32.97 | $35.97 | $82.17 | |
Molina
| Professional | $32.34 | $32.34 | $94.82 | |
United
| Professional | $52.41 | $76.56 | $129.74 |