| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.47 | $332.49 | $575.89 | |
BCBS
| Professional | $267.49 | $382.26 | $571.04 | |
Cigna
| Professional | $262.98 | $386.29 | $677.70 | |
Hally Health
| Professional | $302.73 | $486.43 | $1,492.25 | |
Hally Health
| Professional | $283.22 | $291.73 | $454.19 | |
Molina
| Professional | $32.34 | $32.34 | $513.59 | |
United
| Professional | $335.98 | $460.25 | $768.84 |