| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,043.20 | $2,747.00 | $5,549.00 | |
BCBS
| Facility | $6,366.56 | $13,618.32 | $27,270.68 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,169.71 | $1,704.44 | $4,637.93 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,100.00 | $5,820.00 | $12,241.00 |