| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $426.58 | $741.31 | |
Aetna
| Professional | $162.18 | $208.93 | $281.84 | |
BCBS
| Facility | $295.12 | $331.13 | $398.11 | |
Cigna
| Facility | $162.18 | $457.09 | $1,148.15 | |
Cigna
| Professional | $269.15 | $354.81 | $1,819.70 | |
Hally Health
| Professional | $199.53 | $331.13 | $446.68 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $147.91 | $245.47 | $489.78 | |
United
| Professional | $104.71 | $134.90 | $245.47 |