| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.04 | $73.61 | $88.74 | |
Cigna
| Professional | $42.61 | $42.61 | $124.23 | |
Hally Health
| Professional | $79.45 | $105.94 | $158.91 | |
Molina
| Professional | $144.08 | $148.32 | $2,500.00 | |
United
| Professional | $34.68 | $50.50 | $67.68 |