| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.35 | $51.34 | $61.58 | |
BCBS
| Professional | $53.27 | $99.89 | $99.89 | |
Cigna
| Professional | $31.15 | $31.15 | $78.02 | |
Hally Health
| Professional | $52.44 | $66.59 | $102.31 | |
Molina
| Professional | $90.56 | $93.23 | $2,500.00 | |
United
| Professional | $25.35 | $32.67 | $49.89 |