| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.60 | $1,758.00 | $5,393.00 | |
BCBS
| Facility | $588.71 | $1,259.28 | $2,521.69 | |
Cigna
| Facility | $709.00 | $709.00 | $735.00 | |
Hally Health
| Professional | $138.91 | $258.30 | $871.14 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,686.00 |