| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.74 | $63.51 | $169.63 | |
BCBS
| Professional | $50.20 | $56.71 | $77.81 | |
Cigna
| Professional | $35.29 | $54.00 | $100.31 | |
Hally Health
| Professional | $35.29 | $50.86 | $208.13 | |
Hally Health
| Professional | $41.33 | $42.06 | $45.89 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $39.95 | $62.29 | $96.84 |