| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.48 | $245.48 | $245.48 | |
Aetna
| Professional | $159.40 | $210.57 | $245.48 | |
BCBS
| Facility | $297.85 | $523.54 | $2,881.93 | |
BCBS
| Professional | $206.32 | $257.89 | $257.89 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
Hally Health
| Professional | $200.00 | $296.58 | $517.71 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $335.27 | $335.27 | $335.27 | |
United
| Professional | $128.66 | $212.26 | $462.36 |