| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.04 | $258.14 | $258.14 | |
Aetna
| Professional | $141.47 | $183.47 | $319.36 | |
BCBS
| Facility | $421.35 | $712.85 | $3,030.68 | |
BCBS
| Professional | $211.55 | $267.70 | $267.70 | |
Cigna
| Facility | $212.98 | $212.98 | $385.51 | |
Cigna
| Professional | $155.47 | $272.49 | $356.65 | |
Hally Health
| Professional | $308.51 | $389.55 | $479.50 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $457.91 | $457.91 | $457.91 | |
United
| Professional | $130.81 | $175.72 | $311.16 |