| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $143.04 | $503.26 | |
Aetna
| Professional | $143.04 | $143.04 | $151.97 | |
BCBS
| Facility | $233.98 | $381.80 | $1,721.60 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Hally Health
| Professional | $125.00 | $290.16 | $350.22 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |