| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,023.29 | $1,737.80 | |
Aetna
| Professional | $389.05 | $478.63 | $676.08 | |
BCBS
| Facility | $707.95 | $794.33 | $954.99 | |
Cigna
| Facility | $380.19 | $1,122.02 | $2,691.53 | |
Cigna
| Professional | $676.08 | $707.95 | $851.14 | |
Hally Health
| Professional | $346.74 | $794.33 | $1,071.52 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $588.84 | $588.84 | $1,174.90 | |
United
| Professional | $245.47 | $354.81 | $602.56 |