| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.74 | $35.11 | $51.51 | |
BCBS
| Professional | $31.19 | $44.21 | $52.16 | |
Cigna
| Professional | $28.21 | $38.78 | $56.87 | |
Hally Health
| Professional | $27.75 | $45.22 | $139.40 | |
Hally Health
| Professional | $32.40 | $33.59 | $38.78 | |
Molina
| Professional | $32.34 | $32.34 | $43.85 | |
United
| Professional | $27.73 | $36.20 | $64.20 |