| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.89 | $2,747.00 | $5,580.00 | |
BCBS
| Facility | $1,674.77 | $3,582.40 | $7,173.75 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $320.86 | $461.58 | $1,553.82 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |