| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.39 | $61.06 | $176.58 | |
Ambetter
| Professional | $53.39 | $53.39 | $53.39 | |
BCBS
| Professional | $51.50 | $81.77 | $93.28 | |
Cigna
| Professional | $46.89 | $69.65 | $150.90 | |
Hally Health
| Professional | $46.48 | $67.59 | $302.07 | |
Hally Health
| Professional | $54.93 | $55.43 | $60.36 | |
Molina
| Professional | $32.34 | $32.34 | $68.25 | |
United
| Professional | $44.92 | $66.19 | $111.89 |