| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.35 | $282.29 | $293.14 | |
Cigna
| Professional | $232.88 | $248.90 | $445.31 | |
Hally Health
| Professional | $104.25 | $151.29 | $198.58 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $249.70 | $323.14 | $594.76 |