| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.05 | $109.25 | $137.22 | |
BCBS
| Professional | $117.80 | $220.88 | $220.88 | |
Cigna
| Professional | $63.92 | $63.92 | $172.33 | |
Hally Health
| Professional | $112.65 | $147.25 | $220.88 | |
Molina
| Professional | $200.26 | $206.15 | $2,500.00 | |
United
| Professional | $52.02 | $73.42 | $97.32 |