| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.04 | $591.10 | $645.00 | |
BCBS
| Facility | $816.40 | $1,493.49 | $1,493.49 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Hally Health
| Professional | $425.15 | $602.84 | $2,001.94 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |