| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.82 | $100.53 | $137.57 | |
Cigna
| Professional | $61.92 | $61.92 | $151.12 | |
Hally Health
| Professional | $101.59 | $129.00 | $200.00 | |
Molina
| Professional | $175.44 | $180.60 | $2,500.00 | |
United
| Professional | $50.39 | $64.36 | $91.10 |