| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $446.68 | $691.83 | |
Aetna
| Professional | $446.68 | $446.68 | $446.68 | |
BCBS
| Facility | $562.34 | $758.58 | $6,025.60 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Hally Health
| Professional | $120.23 | $199.53 | $707.95 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $467.74 | $467.74 | $1,174.90 | |
United
| Professional | $436.52 | $588.84 | $954.99 |