| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.23 | $263.04 | $431.73 | |
Aetna
| Professional | $223.13 | $258.23 | $345.38 | |
BCBS
| Facility | $1,311.58 | $2,859.04 | $5,121.25 | |
BCBS
| Professional | $282.43 | $390.11 | $427.41 | |
Cigna
| Facility | $400.86 | $400.86 | $400.86 | |
Cigna
| Professional | $257.76 | $356.53 | $556.39 | |
Hally Health
| Professional | $253.00 | $362.56 | $922.77 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $296.27 | $308.67 | $336.66 | |
Molina
| Professional | $32.34 | $32.34 | $380.69 | |
United
| Professional | $237.56 | $335.97 | $551.35 |