| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.00 | $44.44 | $131.36 | |
BCBS
| Professional | $21.09 | $23.93 | $32.70 | |
Cigna
| Professional | $14.89 | $22.69 | $39.04 | |
Hally Health
| Professional | $14.83 | $21.47 | $120.00 | |
Hally Health
| Professional | $17.45 | $17.63 | $19.28 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $16.60 | $28.29 | $41.05 |