| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.05 | $33.20 | $109.15 | |
BCBS
| Professional | $28.56 | $32.76 | $44.28 | |
Cigna
| Professional | $20.38 | $30.12 | $45.28 | |
Hally Health
| Professional | $20.20 | $29.38 | $128.41 | |
Hally Health
| Professional | $23.87 | $24.21 | $26.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $20.09 | $28.74 | $45.32 |