| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.00 | $1,731.00 | $5,389.00 | |
BCBS
| Facility | $8,538.45 | $11,917.14 | $21,507.89 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,018.14 | $1,525.32 | $3,535.05 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,600.00 | $4,469.00 | $8,566.00 |