| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.52 | $1,972.00 | $5,389.00 | |
BCBS
| Facility | $872.20 | $1,865.68 | $3,736.02 | |
Cigna
| Facility | $709.00 | $709.00 | $735.00 | |
Hally Health
| Professional | $161.60 | $232.51 | $865.25 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |