| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $31.62 | $60.26 | $158.49 | |
Cigna
| Professional | $9.12 | $9.55 | $12.02 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3.80 | $4.90 | $7.59 | |
United
| Professional | $3.16 | $4.47 | $4.79 |