| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.78 | $1,568.00 | $5,091.00 | |
BCBS
| Facility | $968.14 | $2,757.75 | $6,015.01 | |
Cigna
| Facility | $620.00 | $620.00 | $643.00 | |
Hally Health
| Professional | $362.74 | $697.75 | $1,729.63 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $711.00 | $1,905.00 | $4,342.00 |