| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $52.48 | $125.89 | |
BCBS
| Professional | $33.88 | $60.26 | $102.33 | |
Cigna
| Professional | $31.62 | $57.54 | $107.15 | |
Hally Health
| Professional | $37.15 | $85.11 | $407.38 | |
Hally Health
| Professional | $33.11 | $36.31 | $81.28 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $29.51 | $57.54 | $107.15 |