| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.59 | $63.12 | $70.75 | |
BCBS
| Professional | $66.78 | $125.21 | $125.21 | |
Cigna
| Professional | $37.88 | $37.88 | $97.72 | |
Hally Health
| Professional | $63.86 | $83.47 | $125.21 | |
Molina
| Professional | $113.52 | $116.86 | $2,500.00 | |
United
| Professional | $32.81 | $39.78 | $56.49 |