| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.59 | $1,385.67 | $4,776.77 | |
BCBS
| Facility | $4,976.10 | $10,644.08 | $21,314.77 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $866.85 | $1,330.98 | $5,901.73 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |