| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.00 | $2,921.10 | $5,580.00 | |
BCBS
| Facility | $3,889.58 | $6,598.97 | $14,393.19 | |
Cigna
| Facility | $875.00 | $3,072.73 | $3,430.33 | |
Hally Health
| Professional | $713.83 | $1,070.75 | $3,314.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,600.00 | $3,493.00 | $6,482.00 |