| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.97 | $44.74 | $110.35 | |
BCBS
| Professional | $42.92 | $68.14 | $75.58 | |
Cigna
| Professional | $84.01 | $106.56 | $190.82 | |
Hally Health
| Professional | $37.65 | $58.05 | $231.70 | |
Hally Health
| Professional | $44.50 | $45.75 | $50.31 | |
Molina
| Professional | $32.34 | $32.34 | $56.89 | |
United
| Professional | $32.58 | $54.79 | $88.84 |