| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,258.93 | $2,238.72 | |
Aetna
| Professional | $501.19 | $630.96 | $870.96 | |
BCBS
| Facility | $891.25 | $1,023.29 | $1,230.27 | |
Cigna
| Facility | $489.78 | $1,412.54 | $3,467.37 | |
Cigna
| Professional | $870.96 | $912.01 | $1,148.15 | |
Hally Health
| Professional | $346.74 | $977.24 | $1,348.96 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $977.24 | $977.24 | $977.24 | |
United
| Facility | $562.34 | $758.58 | $1,513.56 | |
United
| Professional | $316.23 | $446.68 | $758.58 |