| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.69 | $73.73 | $93.27 | |
Cigna
| Professional | $42.25 | $42.25 | $134.84 | |
Hally Health
| Professional | $84.34 | $114.49 | $161.38 | |
Molina
| Professional | $156.78 | $161.38 | $2,500.00 | |
United
| Professional | $36.60 | $54.73 | $101.84 |