| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $158.49 | $239.88 | |
BCBS
| Professional | $25.70 | $25.70 | $25.70 | |
Hally Health
| Professional | $120.23 | $346.74 | $346.74 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $34.67 | $39.81 | $60.26 |