| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.82 | $88.15 | $107.63 | |
Aetna
| Professional | $43.39 | $55.47 | $77.47 | |
BCBS
| Facility | $171.20 | $302.81 | $1,066.70 | |
BCBS
| Professional | $59.97 | $80.51 | $113.17 | |
Cigna
| Professional | $56.67 | $82.58 | $109.89 | |
Hally Health
| Professional | $50.95 | $75.91 | $186.55 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $64.39 | $66.23 | $89.53 | |
United
| Professional | $60.74 | $82.90 | $132.43 |