| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.43 | $270.94 | $356.78 | |
BCBS
| Professional | $30.38 | $33.50 | $33.50 | |
Cigna
| Professional | $343.22 | $354.68 | $614.05 | |
Hally Health
| Professional | $100.00 | $100.00 | $200.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $237.50 | $287.38 | $458.01 |