| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.02 | $42.29 | $47.73 | |
BCBS
| Professional | $45.59 | $85.49 | $85.49 | |
Cigna
| Professional | $24.43 | $24.43 | $66.66 | |
Hally Health
| Professional | $45.59 | $56.99 | $120.00 | |
Molina
| Professional | $77.51 | $79.79 | $2,500.00 | |
United
| Professional | $19.88 | $28.29 | $36.99 |