| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.59 | $1,129.00 | $4,634.00 | |
BCBS
| Facility | $2,621.66 | $5,607.84 | $11,229.69 | |
Cigna
| Facility | $875.00 | $14,975.00 | $19,446.00 | |
Hally Health
| Professional | $451.97 | $721.75 | $3,175.36 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,100.00 | $5,619.00 | $12,241.00 |