| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.82 | $101.64 | $170.25 | |
Aetna
| Professional | $50.82 | $50.82 | $63.28 | |
BCBS
| Facility | $70.65 | $116.10 | $469.25 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Hally Health
| Professional | $52.61 | $99.58 | $131.84 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $52.94 | $59.29 | $59.29 |