| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $251.19 | $524.81 | |
BCBS
| Professional | $234.42 | $338.84 | $467.74 | |
Cigna
| Professional | $208.93 | $316.23 | $501.19 | |
Hally Health
| Professional | $229.09 | $380.19 | $707.95 | |
Hally Health
| Professional | $239.88 | $251.19 | $371.54 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $199.53 | $295.12 | $512.86 |