| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.95 | $862.10 | $1,935.76 | |
Aetna
| Professional | $314.18 | $314.18 | $436.73 | |
BCBS
| Facility | $435.56 | $521.19 | $658.93 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Hally Health
| Professional | $100.00 | $200.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |