| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.13 | $49.19 | $75.00 | |
BCBS
| Professional | $48.42 | $73.28 | $79.42 | |
Cigna
| Professional | $44.28 | $66.36 | $109.41 | |
Hally Health
| Professional | $67.23 | $100.25 | $174.66 | |
Hally Health
| Professional | $86.59 | $87.46 | $93.09 | |
Molina
| Professional | $32.34 | $32.34 | $100.25 | |
United
| Professional | $45.72 | $56.83 | $84.91 |