| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.52 | $243.30 | $432.68 | |
BCBS
| Professional | $236.82 | $327.63 | $477.62 | |
Cigna
| Professional | $198.85 | $310.99 | $488.47 | |
Hally Health
| Professional | $239.98 | $394.88 | $773.42 | |
Hally Health
| Professional | $241.48 | $252.68 | $380.25 | |
Molina
| Professional | $32.34 | $32.34 | $429.98 | |
United
| Professional | $258.42 | $356.83 | $615.19 |