| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.10 | $51.67 | $79.13 | |
Ambetter
| Professional | $30.45 | $40.79 | $51.64 | |
BCBS
| Professional | $49.17 | $66.45 | $66.75 | |
Cigna
| Professional | $43.72 | $63.02 | $110.99 | |
Hally Health
| Professional | $43.33 | $63.30 | $147.60 | |
Hally Health
| Professional | $51.21 | $53.26 | $57.63 | |
Molina
| Professional | $32.34 | $39.39 | $62.06 | |
United
| Professional | $49.46 | $66.59 | $104.15 |