| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.16 | $81.19 | $205.19 | |
BCBS
| Professional | $85.92 | $96.34 | $133.19 | |
Cigna
| Professional | $59.95 | $90.62 | $145.35 | |
Hally Health
| Professional | $60.41 | $86.42 | $311.69 | |
Hally Health
| Professional | $70.20 | $71.36 | $78.53 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $67.44 | $95.59 | $171.51 |