| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,445.44 | $2,511.89 | |
Aetna
| Professional | $562.34 | $707.95 | $954.99 | |
BCBS
| Facility | $1,000.00 | $1,122.02 | $1,380.38 | |
BCBS
| Professional | $831.76 | $831.76 | $831.76 | |
Cigna
| Facility | $549.54 | $1,584.89 | $3,890.45 | |
Cigna
| Professional | $954.99 | $1,023.29 | $1,288.25 | |
Hally Health
| Professional | $346.74 | $1,096.48 | $1,513.56 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $630.96 | $831.76 | $1,698.24 | |
United
| Professional | $354.81 | $501.19 | $831.76 |