| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.57 | $36.01 | $38.78 | |
BCBS
| Professional | $154.00 | $154.00 | $154.00 | |
Hally Health
| Professional | $120.00 | $200.00 | $345.40 | |
Molina
| Professional | $30.00 | $2,500.00 | $2,500.00 |