| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.78 | $79.63 | $93.68 | |
Cigna
| Professional | $47.24 | $47.24 | $115.14 | |
Hally Health
| Professional | $77.51 | $98.42 | $152.27 | |
Molina
| Professional | $133.85 | $137.79 | $2,500.00 | |
United
| Professional | $38.45 | $49.10 | $65.95 |