| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.91 | $1,225.00 | $5,091.00 | |
BCBS
| Facility | $476.28 | $1,018.80 | $2,040.14 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $109.62 | $177.54 | $575.34 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,686.00 |