| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.68 | $58.37 | $75.00 | |
BCBS
| Professional | $74.16 | $139.05 | $139.05 | |
Cigna
| Professional | $33.45 | $33.45 | $108.70 | |
Hally Health
| Professional | $58.76 | $78.80 | $129.78 | |
Molina
| Professional | $126.07 | $129.78 | $2,500.00 | |
United
| Professional | $28.97 | $44.02 | $73.65 |