| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.95 | $186.46 | $234.93 | |
BCBS
| Professional | $200.98 | $376.85 | $376.85 | |
Cigna
| Professional | $108.53 | $108.53 | $294.29 | |
Hally Health
| Professional | $186.90 | $234.36 | $363.03 | |
Molina
| Professional | $341.67 | $351.72 | $2,500.00 | |
United
| Professional | $88.32 | $125.33 | $215.16 |