| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.13 | $418.13 | $418.13 | |
Aetna
| Professional | $357.38 | $426.87 | $795.82 | |
BCBS
| Facility | $1,328.83 | $4,069.78 | $8,876.70 | |
BCBS
| Professional | $435.19 | $500.98 | $500.98 | |
Cigna
| Facility | $758.68 | $758.68 | $1,104.04 | |
Cigna
| Professional | $553.84 | $621.22 | $882.75 | |
Hally Health
| Professional | $626.23 | $940.95 | $1,347.87 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $856.95 | $856.95 | $856.95 | |
United
| Professional | $546.46 | $617.05 | $1,083.47 |