| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.02 | $77.20 | $88.59 | |
BCBS
| Professional | $79.94 | $149.90 | $149.90 | |
Cigna
| Professional | $45.83 | $45.83 | $117.03 | |
Hally Health
| Professional | $78.69 | $99.93 | $144.40 | |
Molina
| Professional | $135.90 | $139.90 | $2,500.00 | |
United
| Professional | $37.29 | $47.63 | $68.33 |