| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,175.86 | $6,196.80 | $10,108.50 | |
Aetna
| Professional | $2,982.21 | $3,175.86 | $3,679.35 | |
BCBS
| Facility | $4,531.41 | $5,422.20 | $6,855.21 | |
Cigna
| Facility | $4,350.03 | $9,264.21 | $17,828.65 | |
Cigna
| Professional | $4,647.60 | $4,717.52 | $5,652.12 | |
Hally Health
| Professional | $150.00 | $5,034.89 | $7,165.05 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $5,267.28 | $5,267.28 | $5,809.50 | |
United
| Professional | $1,626.66 | $2,323.80 | $3,873.00 |