| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $446.68 | $660.69 | |
Aetna
| Professional | $173.78 | $223.87 | $398.11 | |
BCBS
| Facility | $446.68 | $501.19 | $616.60 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $275.42 | $275.42 | $933.25 |