| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
BCBS
| Facility | $275.42 | $309.03 | $380.19 | |
Cigna
| Facility | $87.10 | $87.10 | $257.04 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $74.13 | $74.13 | $575.44 |