| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.20 | $63.14 | $72.75 | |
BCBS
| Professional | $69.33 | $129.99 | $129.99 | |
Cigna
| Professional | $36.19 | $36.19 | $101.51 | |
Hally Health
| Professional | $60.52 | $77.98 | $125.22 | |
Molina
| Professional | $117.86 | $121.32 | $2,500.00 | |
United
| Professional | $29.91 | $41.89 | $55.38 |