| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.93 | $941.00 | $4,500.00 | |
BCBS
| Facility | $548.76 | $1,213.93 | $2,647.75 | |
Cigna
| Facility | $620.00 | $620.00 | $643.00 | |
Hally Health
| Professional | $169.56 | $326.31 | $1,030.18 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $1,032.00 | $3,686.00 |