| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $645.65 | $1,174.90 | |
Aetna
| Professional | $257.04 | $331.13 | $457.09 | |
BCBS
| Facility | $467.74 | $524.81 | $630.96 | |
Cigna
| Facility | $251.19 | $724.44 | $1,995.26 | |
Cigna
| Professional | $446.68 | $478.63 | $588.84 | |
Hally Health
| Professional | $309.03 | $512.86 | $691.83 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Facility | $295.12 | $389.05 | $776.25 | |
United
| Professional | $165.96 | $234.42 | $389.05 |