| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.86 | $11.88 | $19.32 | |
Cigna
| Professional | $11.83 | $20.07 | $370.37 | |
Hally Health
| Professional | $10.02 | $21.76 | $233.47 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $11.76 | $17.48 | $189.78 |