| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $371.54 | |
Aetna
| Professional | $199.53 | $309.03 | $389.05 | |
BCBS
| Facility | $478.63 | $537.03 | $645.65 | |
Cigna
| Facility | $691.83 | $1,071.52 | $1,479.11 | |
Cigna
| Professional | $269.15 | $269.15 | $436.52 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $363.08 | $446.68 | $1,000.00 | |
United
| Professional | $309.03 | $407.38 | $616.60 |