| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.85 | $54.35 | $75.09 | |
BCBS
| Professional | $62.42 | $96.28 | $116.37 | |
Cigna
| Professional | $48.59 | $73.17 | $107.86 | |
Hally Health
| Professional | $54.08 | $78.81 | $139.65 | |
Hally Health
| Professional | $66.95 | $67.76 | $73.18 | |
Molina
| Professional | $32.34 | $32.34 | $82.75 | |
United
| Professional | $47.69 | $62.72 | $107.59 |