| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.68 | $64.34 | $72.48 | |
BCBS
| Professional | $67.59 | $126.75 | $126.75 | |
Cigna
| Professional | $37.20 | $37.20 | $98.85 | |
Hally Health
| Professional | $65.06 | $82.95 | $126.75 | |
Molina
| Professional | $114.92 | $118.30 | $2,500.00 | |
United
| Professional | $30.27 | $42.16 | $55.30 |