| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,023.29 | $1,778.28 | |
Aetna
| Professional | $354.81 | $489.78 | $912.01 | |
BCBS
| Facility | $724.44 | $2,089.30 | $7,585.78 | |
BCBS
| Professional | $3.47 | $416.87 | $457.09 | |
Cigna
| Facility | $389.05 | $1,258.93 | $2,754.23 | |
Cigna
| Professional | $309.03 | $691.83 | $912.01 | |
Hally Health
| Professional | $478.63 | $1,023.29 | $6,760.83 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Facility | $389.05 | $602.56 | $1,202.26 | |
United
| Professional | $251.19 | $354.81 | $602.56 |