| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $34.67 | |
Aetna
| Professional | $32.36 | $33.88 | $38.90 | |
BCBS
| Facility | $128.82 | $346.74 | $660.69 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Hally Health
| Professional | $331.13 | $407.38 | $467.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |