| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.33 | $45.25 | $52.91 | |
BCBS
| Professional | $51.04 | $95.70 | $95.70 | |
Cigna
| Professional | $26.22 | $26.22 | $74.61 | |
Hally Health
| Professional | $47.85 | $63.80 | $92.19 | |
Molina
| Professional | $86.77 | $89.32 | $2,500.00 | |
United
| Professional | $21.34 | $30.83 | $48.22 |