| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.38 | $73.27 | $91.59 | |
Cigna
| Professional | $46.19 | $46.19 | $112.49 | |
Hally Health
| Professional | $75.77 | $96.22 | $150.97 | |
Molina
| Professional | $130.86 | $134.71 | $2,500.00 | |
United
| Professional | $37.59 | $48.01 | $73.38 |