| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $398.11 | $398.11 | $398.11 | |
BCBS
| Facility | $1,202.26 | $1,348.96 | $1,621.81 | |
Cigna
| Facility | $812.83 | $954.99 | $1,230.27 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $794.33 | $794.33 | $2,511.89 |