| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $870.96 | $1,513.56 | |
Aetna
| Professional | $331.13 | $407.38 | $562.34 | |
BCBS
| Facility | $602.56 | $676.08 | $812.83 | |
BCBS
| Professional | $501.19 | $501.19 | $501.19 | |
Cigna
| Facility | $323.59 | $933.25 | $2,290.87 | |
Cigna
| Professional | $575.44 | $616.60 | $758.58 | |
Hally Health
| Professional | $346.74 | $660.69 | $891.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $380.19 | $501.19 | $1,000.00 | |
United
| Professional | $213.80 | $302.00 | $501.19 |