| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.90 | $1,289.00 | $5,091.00 | |
BCBS
| Facility | $2,138.75 | $4,574.88 | $9,161.19 | |
Cigna
| Facility | $875.00 | $14,975.00 | $19,446.00 | |
Hally Health
| Professional | $367.35 | $558.40 | $1,703.95 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |