| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $155.30 | |
Aetna
| Professional | $14.82 | $14.82 | $17.20 | |
BCBS
| Facility | $225.00 | $369.41 | $708.61 | |
BCBS
| Professional | $53.00 | $53.00 | $53.00 | |
Cigna
| Professional | $4.38 | $4.38 | $10.41 | |
Hally Health
| Professional | $7.05 | $8.60 | $21.94 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $9.97 | $10.47 | $11.18 | |
United
| Professional | $4.22 | $5.81 | $9.90 |