| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.32 | $722.54 | $4,121.00 | |
BCBS
| Facility | $549.75 | $1,221.75 | $2,664.80 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $161.78 | $284.64 | $712.09 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $1,032.00 | $3,686.00 |