| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.82 | $88.15 | $107.63 | |
Aetna
| Professional | $42.65 | $54.50 | $71.45 | |
BCBS
| Facility | $169.60 | $299.98 | $1,066.70 | |
BCBS
| Professional | $59.97 | $80.51 | $102.73 | |
Cigna
| Professional | $57.85 | $82.64 | $109.89 | |
Hally Health
| Professional | $50.95 | $75.97 | $160.97 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $64.39 | $66.23 | $89.53 | |
United
| Professional | $60.67 | $82.18 | $131.76 |