| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.28 | $1,109.24 | $1,765.33 | |
Aetna
| Professional | $574.91 | $1,237.76 | $1,237.76 | |
BCBS
| Facility | $791.35 | $946.91 | $1,197.17 | |
BCBS
| Professional | $676.37 | $676.37 | $1,028.08 | |
Cigna
| Facility | $857.30 | $1,480.71 | $3,113.65 | |
Cigna
| Professional | $811.64 | $823.90 | $987.13 | |
Hally Health
| Professional | $676.37 | $946.92 | $1,420.38 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $919.86 | $919.86 | $1,014.56 | |
United
| Professional | $284.08 | $405.82 | $677.38 |