| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.34 | $63.67 | $73.98 | |
BCBS
| Professional | $68.72 | $128.85 | $128.85 | |
Cigna
| Professional | $37.59 | $37.59 | $100.75 | |
Hally Health
| Professional | $64.43 | $80.31 | $128.85 | |
Molina
| Professional | $116.82 | $120.26 | $2,500.00 | |
United
| Professional | $30.59 | $41.52 | $56.76 |