| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $426.58 | $741.31 | |
Aetna
| Professional | $165.96 | $204.17 | $257.04 | |
BCBS
| Facility | $295.12 | $338.84 | $407.38 | |
Cigna
| Facility | $162.18 | $478.63 | $1,148.15 | |
Cigna
| Professional | $288.40 | $302.00 | $363.08 | |
Hally Health
| Professional | $199.53 | $346.74 | $457.09 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $251.19 | $251.19 | $501.19 | |
United
| Professional | $104.71 | $147.91 | $251.19 |