| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.65 | $43.81 | $149.51 | |
BCBS
| Professional | $38.90 | $44.39 | $60.32 | |
Cigna
| Professional | $27.62 | $41.04 | $64.84 | |
Hally Health
| Professional | $27.37 | $39.81 | $161.30 | |
Hally Health
| Professional | $32.34 | $33.09 | $35.57 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $30.18 | $46.94 | $68.37 |