| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.16 | $64.75 | $78.79 | |
BCBS
| Professional | $76.67 | $121.74 | $135.18 | |
Cigna
| Professional | $59.50 | $86.41 | $122.73 | |
Hally Health
| Professional | $55.11 | $85.72 | $216.15 | |
Hally Health
| Professional | $79.59 | $82.11 | $89.87 | |
Molina
| Professional | $32.34 | $32.34 | $103.70 | |
United
| Professional | $53.12 | $73.42 | $129.11 |