| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.24 | $86.20 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $69.34 | $88.89 | $105.73 | |
Cigna
| Professional | $55.95 | $72.72 | $95.63 | |
Hally Health
| Professional | $50.05 | $70.62 | $281.95 | |
Hally Health
| Professional | $72.29 | $75.39 | $81.29 | |
Molina
| Professional | $31.27 | $32.34 | $32.34 | |
United
| Professional | $32.11 | $54.32 | $132.13 |