| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $89.13 | $107.15 | |
Aetna
| Professional | $42.66 | $54.95 | $83.18 | |
BCBS
| Facility | $165.96 | $302.00 | $1,071.52 | |
BCBS
| Professional | $60.26 | $75.86 | $102.33 | |
Cigna
| Professional | $56.23 | $83.18 | $112.20 | |
Hally Health
| Professional | $51.29 | $75.86 | $165.96 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $64.57 | $66.07 | $89.13 | |
United
| Facility | $66.07 | $66.07 | $66.07 | |
United
| Professional | $53.70 | $77.62 | $117.49 |