| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $51.29 | |
Aetna
| Professional | $50.12 | $77.62 | $147.91 | |
BCBS
| Facility | $398.11 | $446.68 | $537.03 | |
Cigna
| Facility | $398.11 | $602.56 | $831.76 | |
Cigna
| Professional | $72.44 | $87.10 | $275.42 | |
Hally Health
| Professional | $60.26 | $85.11 | $147.91 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $74.13 | $77.62 | $87.10 | |
United
| Facility | $245.47 | $251.19 | $831.76 | |
United
| Professional | $53.70 | $79.43 | $380.19 |