| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.24 | $294.02 | $351.46 | |
BCBS
| Professional | $326.74 | $451.32 | $496.31 | |
Cigna
| Professional | $299.10 | $412.47 | $646.84 | |
Hally Health
| Professional | $293.82 | $421.27 | $1,052.25 | |
Hally Health
| Professional | $342.65 | $356.94 | $391.18 | |
Molina
| Professional | $32.34 | $32.34 | $442.34 | |
United
| Professional | $278.92 | $409.38 | $659.85 |