| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.86 | $39.70 | $103.24 | |
BCBS
| Professional | $3.26 | $7.59 | $50.62 | |
Cigna
| Professional | $34.70 | $60.32 | $143.28 | |
Hally Health
| Professional | $32.29 | $49.58 | $226.27 | |
Hally Health
| Professional | $38.17 | $39.00 | $42.97 | |
Molina
| Professional | $4.00 | $32.34 | $45.15 | |
United
| Professional | $49.70 | $82.21 | $131.01 |