| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.19 | $130.19 | $130.19 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
BCBS
| Facility | $105.55 | $125.93 | $162.46 | |
Cigna
| Facility | $110.47 | $311.17 | $789.08 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 |