| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $146.00 | $315.00 | |
BCBS
| Facility | $1,860.00 | $2,146.00 | $3,929.00 | |
Cigna
| Facility | $70.00 | $83.00 | $142.00 | |
Hally Health
| Facility | $100.00 | $140.00 | $204.50 |
Pt/Group Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $146.00 | $315.00 | |
BCBS
| Facility | $1,860.00 | $2,146.00 | $3,929.00 | |
Cigna
| Facility | $70.00 | $83.00 | $142.00 | |
Hally Health
| Facility | $100.00 | $140.00 | $204.50 |