| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.25 | $55.04 | $65.17 | |
BCBS
| Professional | $57.58 | $107.97 | $107.97 | |
Cigna
| Professional | $34.54 | $34.54 | $84.46 | |
Hally Health
| Professional | $56.68 | $71.98 | $119.83 | |
Molina
| Professional | $97.89 | $100.77 | $2,500.00 | |
United
| Professional | $28.12 | $35.90 | $51.51 |