| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $1,023.29 | $1,778.28 | |
Aetna
| Professional | $398.11 | $489.78 | $691.83 | |
Ambetter
| Professional | $302.00 | $302.00 | $302.00 | |
BCBS
| Facility | $724.44 | $812.83 | $977.24 | |
BCBS
| Professional | $602.56 | $602.56 | $602.56 | |
Cigna
| Facility | $389.05 | $1,288.25 | $2,754.23 | |
Cigna
| Professional | $691.83 | $724.44 | $870.96 | |
Hally Health
| Professional | $346.74 | $812.83 | $1,096.48 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Facility | $602.56 | $602.56 | $1,202.26 | |
United
| Professional | $251.19 | $354.81 | $602.56 |