| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.30 | $48.79 | $61.45 | |
BCBS
| Professional | $51.26 | $96.12 | $96.12 | |
Cigna
| Professional | $28.19 | $28.19 | $74.98 | |
Hally Health
| Professional | $48.06 | $61.38 | $96.00 | |
Molina
| Professional | $87.15 | $89.71 | $2,500.00 | |
United
| Professional | $24.42 | $30.97 | $52.08 |