| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $199.53 | $346.74 | |
Aetna
| Professional | $75.86 | $97.72 | $131.83 | |
BCBS
| Facility | $138.04 | $154.88 | $186.21 | |
Cigna
| Facility | $74.13 | $239.88 | $524.81 | |
Cigna
| Professional | $131.83 | $138.04 | $173.78 | |
Hally Health
| Professional | $114.82 | $154.88 | $288.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Hally Health
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Facility | $69.18 | $114.82 | $229.09 | |
United
| Professional | $47.86 | $63.10 | $114.82 |