| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $959.24 | $1,526.59 | |
Aetna
| Professional | $450.37 | $479.62 | $743.41 | |
BCBS
| Facility | $801.31 | $3,121.31 | $7,737.35 | |
BCBS
| Professional | $3.50 | $403.58 | $450.37 | |
Cigna
| Facility | $805.62 | $1,453.09 | $2,692.24 | |
Cigna
| Professional | $299.14 | $712.27 | $1,041.29 | |
Hally Health
| Professional | $596.60 | $1,023.58 | $3,988.03 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $760.37 | $760.37 | $760.37 | |
Molina
| Professional | $795.46 | $795.46 | $877.35 | |
United
| Professional | $245.66 | $397.16 | $683.03 |