| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.50 | $48.98 | $92.05 | |
Cigna
| Professional | $20.05 | $57.45 | $136.47 | |
Hally Health
| Professional | $19.72 | $70.38 | $162.63 | |
Molina
| Professional | $32.34 | $32.34 | $124.66 | |
United
| Professional | $60.74 | $80.43 | $129.01 |