| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.33 | $18.27 | $30.15 | |
Cigna
| Professional | $18.23 | $30.56 | $179.01 | |
Hally Health
| Professional | $15.46 | $33.86 | $113.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $17.87 | $26.16 | $116.39 |