| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $20.89 | $40.74 | |
BCBS
| Professional | $24.55 | $30.20 | $40.74 | |
Cigna
| Professional | $10.23 | $13.80 | $39.81 | |
Hally Health
| Professional | $26.92 | $40.74 | $128.82 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $14.79 | $25.70 | $40.74 |