| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.15 | $18.41 | $28.84 | |
BCBS
| Facility | $122.21 | $280.33 | $931.64 | |
Cigna
| Facility | $720.44 | $798.43 | $1,527.66 | |
Hally Health
| Professional | $12.57 | $18.87 | $369.86 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |