| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $478.63 | $831.76 | |
Aetna
| Professional | $181.97 | $223.87 | $302.00 | |
BCBS
| Facility | $331.13 | $371.54 | $446.68 | |
Cigna
| Facility | $177.83 | $588.84 | $1,258.93 | |
Cigna
| Professional | $316.23 | $331.13 | $398.11 | |
Hally Health
| Professional | $218.78 | $371.54 | $512.86 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $275.42 | $275.42 | $549.54 | |
United
| Professional | $114.82 | $165.96 | $275.42 |