| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.20 | $450.00 | $680.76 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $619.88 | $2,956.50 | $6,448.50 | |
BCBS
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Hally Health
| Professional | $100.00 | $200.00 | $868.54 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $422.86 | $613.49 | $1,100.09 |