| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.00 | $119.33 | $149.16 | |
BCBS
| Professional | $125.37 | $235.07 | $235.07 | |
Cigna
| Professional | $71.33 | $71.33 | $183.32 | |
Hally Health
| Professional | $111.38 | $148.60 | $235.07 | |
Molina
| Professional | $213.13 | $219.39 | $2,500.00 | |
United
| Professional | $58.04 | $78.18 | $120.54 |