| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $91.20 | $158.49 | |
Aetna
| Professional | $34.67 | $43.65 | $60.26 | |
BCBS
| Facility | $63.10 | $70.79 | $85.11 | |
Cigna
| Facility | $33.88 | $97.72 | $245.47 | |
Cigna
| Professional | $60.26 | $64.57 | $81.28 | |
Hally Health
| Professional | $52.48 | $74.13 | $194.98 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $69.18 | $69.18 | $69.18 | |
United
| Facility | $31.62 | $52.48 | $104.71 | |
United
| Professional | $22.39 | $31.62 | $52.48 |