| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.34 | $1,159.00 | $5,091.00 | |
BCBS
| Facility | $219.20 | $468.88 | $938.93 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $57.55 | $383.81 | $829.35 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $1,032.00 | $3,686.00 |