| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.34 | $67.50 | $77.62 | |
BCBS
| Professional | $70.91 | $132.96 | $132.96 | |
Cigna
| Professional | $42.55 | $42.55 | $103.78 | |
Hally Health
| Professional | $67.81 | $88.64 | $137.52 | |
Molina
| Professional | $120.55 | $124.10 | $2,500.00 | |
United
| Professional | $34.61 | $44.22 | $65.22 |