| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.07 | $29.62 | $40.61 | |
BCBS
| Professional | $37.72 | $42.30 | $46.86 | |
Cigna
| Professional | $23.37 | $54.83 | $108.10 | |
Hally Health
| Professional | $38.74 | $57.68 | $97.98 | |
Hally Health
| Professional | $49.99 | $50.95 | $53.86 | |
Molina
| Professional | $32.34 | $32.34 | $58.00 | |
United
| Professional | $26.35 | $36.89 | $50.16 |