| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.92 | $62.36 | $73.37 | |
BCBS
| Professional | $66.15 | $124.04 | $124.04 | |
Cigna
| Professional | $37.00 | $37.00 | $96.96 | |
Hally Health
| Professional | $62.02 | $80.56 | $126.17 | |
Molina
| Professional | $112.46 | $115.77 | $2,500.00 | |
United
| Professional | $30.11 | $41.25 | $64.27 |