| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.50 | $47.48 | $87.77 | |
Cigna
| Professional | $20.05 | $55.45 | $130.93 | |
Hally Health
| Professional | $19.86 | $66.81 | $119.66 | |
Molina
| Professional | $32.34 | $32.34 | $118.34 | |
United
| Professional | $56.84 | $76.47 | $123.44 |