| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.68 | $22.56 | $52.05 | |
BCBS
| Professional | $27.16 | $31.13 | $42.10 | |
Cigna
| Professional | $19.37 | $28.64 | $42.28 | |
Hally Health
| Professional | $19.20 | $27.92 | $100.92 | |
Hally Health
| Professional | $22.69 | $22.98 | $24.83 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $19.13 | $28.58 | $43.81 |