| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $18.20 | $26.92 | |
BCBS
| Professional | $9.12 | $16.98 | $33.88 | |
Cigna
| Professional | $15.85 | $22.91 | $36.31 | |
Hally Health
| Professional | $15.85 | $27.54 | $117.49 | |
Hally Health
| Professional | $19.50 | $19.95 | $21.88 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $15.14 | $21.88 | $33.11 |