| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.68 | $398.58 | $1,181.40 | |
Ambetter
| Professional | $310.35 | $364.08 | $410.93 | |
BCBS
| Professional | $459.00 | $521.72 | $755.32 | |
Cigna
| Professional | $310.38 | $310.38 | $310.38 | |
Hally Health
| Professional | $294.73 | $431.82 | $1,937.60 | |
Hally Health
| Professional | $400.97 | $418.41 | $450.76 | |
Molina
| Professional | $32.34 | $32.34 | $509.71 | |
United
| Professional | $369.92 | $565.25 | $889.91 |