| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $831.76 | $1,445.44 | |
Aetna
| Professional | $144.54 | $389.05 | $467.74 | |
BCBS
| Facility | $575.44 | $645.65 | $794.33 | |
Cigna
| Facility | $316.23 | $1,023.29 | $2,238.72 | |
Cigna
| Professional | $562.34 | $588.84 | $707.95 | |
Hally Health
| Professional | $346.74 | $645.65 | $891.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $251.19 | $478.63 | $954.99 | |
United
| Professional | $87.10 | $123.03 | $239.88 |