| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $239.88 | $295.12 | |
Aetna
| Professional | $112.20 | $114.82 | $147.91 | |
BCBS
| Facility | $141.25 | $346.74 | $1,174.90 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Hally Health
| Professional | $199.53 | $288.40 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |