| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.81 | $28.23 | $36.84 | |
BCBS
| Professional | $35.24 | $39.92 | $43.79 | |
Cigna
| Professional | $24.35 | $50.32 | $111.17 | |
Hally Health
| Professional | $36.29 | $55.28 | $95.87 | |
Hally Health
| Professional | $47.18 | $47.28 | $50.32 | |
Molina
| Professional | $32.34 | $32.34 | $56.90 | |
United
| Professional | $29.29 | $34.70 | $50.99 |