| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $26.92 | $38.02 | $75.86 | |
Cigna
| Professional | $20.89 | $21.38 | $26.92 | |
Hally Health
| Professional | $40.74 | $57.54 | $199.53 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $23.99 | $23.99 | $23.99 |