| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.62 | $236.85 | $420.70 | |
BCBS
| Professional | $232.79 | $318.77 | $465.19 | |
Cigna
| Professional | $201.25 | $310.45 | $475.28 | |
Hally Health
| Professional | $233.06 | $384.21 | $655.77 | |
Hally Health
| Professional | $238.29 | $248.65 | $369.98 | |
Molina
| Professional | $32.34 | $32.34 | $418.36 | |
United
| Professional | $242.34 | $344.88 | $605.50 |