| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.53 | $86.69 | $103.97 | |
BCBS
| Professional | $98.73 | $185.12 | $185.12 | |
Cigna
| Professional | $51.66 | $51.66 | $144.68 | |
Hally Health
| Professional | $82.84 | $110.14 | $177.29 | |
Molina
| Professional | $167.84 | $172.77 | $2,500.00 | |
United
| Professional | $42.04 | $58.82 | $79.63 |