| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.77 | $33.97 | $41.35 | |
BCBS
| Professional | $14.73 | $32.03 | $84.63 | |
Cigna
| Professional | $33.93 | $33.93 | $33.93 | |
Hally Health
| Professional | $40.15 | $58.75 | $103.23 | |
Hally Health
| Professional | $44.93 | $45.75 | $49.73 | |
Molina
| Professional | $15.14 | $32.34 | $52.02 | |
United
| Professional | $31.62 | $43.13 | $71.45 |