| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.69 | $43.26 | $50.76 | |
BCBS
| Professional | $45.45 | $85.22 | $85.22 | |
Cigna
| Professional | $24.93 | $24.93 | $66.66 | |
Hally Health
| Professional | $42.61 | $54.49 | $85.49 | |
Molina
| Professional | $77.26 | $79.53 | $2,500.00 | |
United
| Professional | $20.29 | $27.46 | $41.55 |