| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.43 | $74.04 | $74.04 | |
BCBS
| Facility | $90.16 | $230.30 | $894.88 | |
Cigna
| Facility | $51.14 | $51.14 | $51.14 | |
Hally Health
| Professional | $46.77 | $71.26 | $180.31 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |