| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $870.96 | $1,513.56 | |
Aetna
| Professional | $331.13 | $407.38 | $562.34 | |
BCBS
| Facility | $602.56 | $676.08 | $812.83 | |
BCBS
| Professional | $346.74 | $389.05 | $389.05 | |
Cigna
| Facility | $323.59 | $1,071.52 | $2,290.87 | |
Cigna
| Professional | $524.81 | $562.34 | $691.83 | |
Hally Health
| Professional | $346.74 | $660.69 | $870.96 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Facility | $323.59 | $501.19 | $602.56 | |
United
| Professional | $213.80 | $302.00 | $501.19 |