| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.59 | $59.11 | $65.09 | |
BCBS
| Professional | $62.17 | $116.57 | $116.57 | |
Cigna
| Professional | $33.32 | $33.32 | $90.90 | |
Hally Health
| Professional | $61.20 | $77.70 | $163.19 | |
Molina
| Professional | $105.69 | $114.23 | $2,500.00 | |
United
| Professional | $28.86 | $38.56 | $50.46 |