| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.11 | $77.17 | $126.84 | |
BCBS
| Professional | $63.49 | $101.54 | $150.90 | |
Cigna
| Professional | $55.52 | $93.78 | $176.71 | |
Hally Health
| Professional | $52.29 | $79.42 | $148.91 | |
Molina
| Professional | $40.00 | $135.01 | $148.91 | |
United
| Professional | $62.36 | $98.06 | $150.83 |