| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.88 | $88.03 | $96.84 | |
BCBS
| Professional | $92.49 | $173.42 | $173.42 | |
Cigna
| Professional | $51.62 | $51.62 | $135.21 | |
Hally Health
| Professional | $88.91 | $115.61 | $173.42 | |
Molina
| Professional | $157.22 | $161.85 | $2,500.00 | |
United
| Professional | $42.01 | $55.88 | $86.52 |