| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $1,380.38 | $5,754.40 | |
BCBS
| Facility | $2,089.30 | $5,623.41 | $10,715.19 | |
Cigna
| Facility | $602.56 | $15,135.61 | $19,498.45 | |
Hally Health
| Professional | $446.68 | $776.25 | $3,467.37 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,445.44 | $5,888.44 | $12,302.69 |