| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.02 | $1,146.00 | $4,634.00 | |
BCBS
| Facility | $528.91 | $1,104.54 | $2,409.15 | |
Cigna
| Facility | $620.00 | $620.00 | $643.00 | |
Hally Health
| Professional | $157.12 | $304.42 | $941.62 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $1,032.00 | $3,686.00 |