| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $1,163.50 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
BCBS
| Facility | $963.57 | $1,152.99 | $1,457.71 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |