| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $56.23 | $85.11 | |
Ambetter
| Professional | $52.48 | $52.48 | $52.48 | |
BCBS
| Professional | $63.10 | $95.50 | $117.49 | |
Cigna
| Professional | $50.12 | $74.13 | $109.65 | |
Hally Health
| Professional | $52.48 | $87.10 | $147.91 | |
Hally Health
| Professional | $67.61 | $67.61 | $72.44 | |
Molina
| Professional | $32.36 | $33.11 | $77.62 | |
United
| Professional | $47.86 | $63.10 | $97.72 |