| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.66 | $1,225.00 | $5,091.00 | |
BCBS
| Facility | $756.07 | $1,617.28 | $3,238.60 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $157.01 | $249.80 | $834.99 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,686.00 |