| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $316.23 | $575.44 | |
Aetna
| Professional | $131.83 | $162.18 | $295.12 | |
BCBS
| Facility | $234.42 | $309.03 | $2,511.89 | |
Cigna
| Facility | $125.89 | $407.38 | $891.25 | |
Cigna
| Professional | $89.13 | $234.42 | $323.59 | |
Hally Health
| Professional | $199.53 | $338.84 | $954.99 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $251.19 | $251.19 | $251.19 | |
United
| Facility | $194.98 | $194.98 | $389.05 | |
United
| Professional | $81.28 | $114.82 | $199.53 |