| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $812.83 | $1,778.28 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
BCBS
| Facility | $446.68 | $501.19 | $602.56 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $295.12 | $295.12 | $933.25 |