| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.41 | $21.05 | $26.20 | |
Cigna
| Professional | $12.15 | $12.15 | $36.74 | |
Hally Health
| Professional | $21.99 | $28.14 | $45.19 | |
Molina
| Professional | $42.53 | $43.78 | $2,500.00 | |
United
| Professional | $10.40 | $14.86 | $20.68 |