| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $51.29 | $114.82 | |
Ambetter
| Professional | $53.70 | $53.70 | $89.13 | |
BCBS
| Professional | $48.98 | $75.86 | $79.43 | |
Cigna
| Professional | $43.65 | $53.70 | $109.65 | |
Hally Health
| Professional | $67.61 | $100.00 | $177.83 | |
Hally Health
| Professional | $87.10 | $87.10 | $93.33 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $45.71 | $56.23 | $81.28 |