| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.22 | $1,289.00 | $5,389.00 | |
BCBS
| Facility | $761.09 | $1,628.00 | $3,260.07 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $198.42 | $292.73 | $941.62 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $900.00 | $3,606.00 |