| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.69 | $63.70 | $73.33 | |
BCBS
| Professional | $66.92 | $125.48 | $125.48 | |
Cigna
| Professional | $38.71 | $38.71 | $98.10 | |
Hally Health
| Professional | $65.87 | $83.65 | $132.03 | |
Molina
| Professional | $113.76 | $117.11 | $2,500.00 | |
United
| Professional | $31.50 | $40.43 | $62.00 |