| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.93 | $35.04 | $46.45 | |
BCBS
| Professional | $43.28 | $66.76 | $78.02 | |
Cigna
| Professional | $26.13 | $44.92 | $80.01 | |
Hally Health
| Professional | $32.28 | $53.18 | $111.36 | |
Hally Health
| Professional | $44.88 | $46.15 | $50.74 | |
Molina
| Professional | $32.34 | $32.34 | $54.64 | |
United
| Professional | $21.79 | $31.97 | $59.01 |