| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.37 | $318.42 | $538.83 | |
BCBS
| Professional | $318.99 | $413.88 | $604.47 | |
Cigna
| Professional | $278.11 | $404.85 | $630.54 | |
Hally Health
| Professional | $314.68 | $506.19 | $968.22 | |
Hally Health
| Professional | $324.52 | $340.52 | $480.35 | |
Molina
| Professional | $32.34 | $32.34 | $543.16 | |
United
| Professional | $316.47 | $442.38 | $779.11 |