| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.99 | $1,225.00 | $5,091.00 | |
BCBS
| Facility | $552.62 | $1,182.08 | $2,367.11 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $114.75 | $185.97 | $478.94 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,686.00 |