| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.42 | $323.59 | $645.65 | |
BCBS
| Professional | $316.23 | $467.74 | $602.56 | |
Cigna
| Professional | $275.42 | $426.58 | $660.69 | |
Hally Health
| Professional | $309.03 | $501.19 | $1,023.29 | |
Hally Health
| Professional | $323.59 | $338.84 | $478.63 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $269.15 | $380.19 | $660.69 |