| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.66 | $753.66 | $753.66 | |
Aetna
| Professional | $492.35 | $775.08 | $1,005.44 | |
BCBS
| Professional | $107.65 | $127.64 | $127.64 | |
Cigna
| Facility | $1,045.06 | $1,045.06 | $1,045.06 | |
Cigna
| Professional | $24.99 | $24.99 | $4,077.00 | |
Hally Health
| Professional | $120.00 | $251.68 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $60.85 | $77.98 | $228.80 |