| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.61 | $513.65 | $540.55 | |
BCBS
| Facility | $676.67 | $1,261.80 | $1,261.80 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Hally Health
| Professional | $358.88 | $519.65 | $1,732.18 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |