| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $3,235.94 | $9,772.37 | |
Aetna
| Professional | $45.71 | $75.86 | $100.00 | |
Cigna
| Facility | $4,677.35 | $8,317.64 | $16,218.10 | |
Hally Health
| Professional | $120.23 | $199.53 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $575.44 | $2,884.03 | $7,413.10 | |
United
| Professional | $85.11 | $123.03 | $234.42 |