| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $28.18 | $47.86 | |
BCBS
| Professional | $35.48 | $39.81 | $43.65 | |
Cigna
| Professional | $25.70 | $44.67 | $69.18 | |
Hally Health
| Professional | $36.31 | $54.95 | $97.72 | |
Hally Health
| Professional | $46.77 | $46.77 | $50.12 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $28.84 | $34.67 | $50.12 |