| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.64 | $49.28 | $61.13 | |
BCBS
| Professional | $51.78 | $97.08 | $97.08 | |
Cigna
| Professional | $29.80 | $29.80 | $75.75 | |
Hally Health
| Professional | $49.51 | $63.06 | $102.31 | |
Molina
| Professional | $88.02 | $90.61 | $2,500.00 | |
United
| Professional | $24.25 | $31.40 | $55.42 |