| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.63 | $170.84 | $228.78 | |
BCBS
| Professional | $170.11 | $318.95 | $318.95 | |
Cigna
| Professional | $101.80 | $101.80 | $248.84 | |
Hally Health
| Professional | $142.08 | $191.38 | $318.95 | |
Molina
| Professional | $289.19 | $297.70 | $2,500.00 | |
United
| Professional | $82.84 | $106.09 | $172.03 |