| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.21 | $63.08 | $76.91 | |
BCBS
| Professional | $70.98 | $133.08 | $133.08 | |
Cigna
| Professional | $36.14 | $36.14 | $103.78 | |
Hally Health
| Professional | $62.30 | $79.84 | $128.19 | |
Molina
| Professional | $120.66 | $124.21 | $2,500.00 | |
United
| Professional | $29.42 | $42.88 | $58.74 |