| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $34.49 | |
Aetna
| Professional | $32.18 | $34.49 | $34.49 | |
BCBS
| Facility | $160.82 | $344.00 | $688.86 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Hally Health
| Professional | $329.62 | $404.62 | $480.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 |