| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.00 | $2,576.00 | $6,881.17 | |
BCBS
| Facility | $3,889.58 | $6,154.71 | $12,653.81 | |
Cigna
| Facility | $875.00 | $3,072.73 | $3,430.33 | |
Hally Health
| Professional | $610.16 | $914.85 | $2,354.28 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,600.00 | $4,530.00 | $8,566.00 |