| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.21 | $446.04 | $1,620.49 | |
Aetna
| Professional | $226.22 | $226.22 | $402.94 | |
BCBS
| Facility | $417.58 | $499.67 | $631.73 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Hally Health
| Professional | $100.00 | $150.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |