| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.13 | $52.65 | $64.19 | |
BCBS
| Professional | $63.47 | $119.01 | $119.01 | |
Cigna
| Professional | $28.56 | $28.56 | $92.79 | |
Hally Health
| Professional | $57.68 | $75.31 | $114.65 | |
Molina
| Professional | $107.90 | $111.08 | $2,500.00 | |
United
| Professional | $24.74 | $37.67 | $50.69 |