| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.99 | $825.58 | $1,313.87 | |
Aetna
| Professional | $330.99 | $330.99 | $427.89 | |
BCBS
| Facility | $588.97 | $704.76 | $891.01 | |
Cigna
| Facility | $351.76 | $1,250.50 | $2,316.98 | |
Cigna
| Professional | $553.74 | $613.72 | $767.15 | |
Hally Health
| Professional | $345.40 | $679.59 | $901.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $251.70 | $345.33 | $629.25 | |
United
| Facility | $503.40 | $528.57 | $1,243.40 | |
United
| Professional | $211.43 | $302.04 | $503.40 |