| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.67 | $1,379.00 | $4,634.00 | |
BCBS
| Facility | $681.03 | $1,284.76 | $4,592.85 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $295.63 | $1,005.66 | $2,213.17 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |