| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.79 | $38.79 | $58.76 | |
BCBS
| Facility | $390.10 | $466.78 | $590.15 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 | |
Hally Health
| Professional | $100.00 | $150.00 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |