| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.00 | $1,289.00 | $5,091.00 | |
BCBS
| Facility | $330.07 | $3,436.43 | $7,495.30 | |
Cigna
| Facility | $250.87 | $280.07 | $908.00 | |
Hally Health
| Professional | $363.75 | $545.02 | $1,437.92 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $891.00 | $3,685.00 |