| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.31 | $99.47 | $116.73 | |
BCBS
| Professional | $104.50 | $195.95 | $195.95 | |
Cigna
| Professional | $62.26 | $62.26 | $153.02 | |
Hally Health
| Professional | $102.87 | $130.63 | $200.00 | |
Molina
| Professional | $177.66 | $182.88 | $2,500.00 | |
United
| Professional | $50.66 | $64.70 | $115.03 |