| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $22.91 | $42.66 | |
BCBS
| Professional | $33.11 | $33.11 | $34.67 | |
Cigna
| Professional | $21.38 | $36.31 | $57.54 | |
Hally Health
| Professional | $30.20 | $42.66 | $66.07 | |
Hally Health
| Professional | $39.81 | $39.81 | $42.66 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $23.44 | $29.51 | $41.69 |