| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $776.25 | $1,412.54 | |
Aetna
| Professional | $309.03 | $380.19 | $478.63 | |
BCBS
| Facility | $562.34 | $630.96 | $758.58 | |
BCBS
| Professional | $467.74 | $467.74 | $707.95 | |
Cigna
| Facility | $302.00 | $1,000.00 | $2,137.96 | |
Cigna
| Professional | $537.03 | $562.34 | $676.08 | |
Hally Health
| Professional | $346.74 | $630.96 | $870.96 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $467.74 | $467.74 | $933.25 | |
United
| Professional | $194.98 | $281.84 | $467.74 |