| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,715.35 | $3,890.45 | $4,677.35 | |
Hally Health
| Professional | $100.00 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,445.44 | $1,737.80 | $2,951.21 | |
United
| Professional | $1,230.27 | $1,737.80 | $1,905.46 |