| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,995.26 | $7,762.47 | |
BCBS
| Facility | $316.23 | $426.58 | $6,918.31 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Hally Health
| Professional | $346.74 | $602.56 | $1,584.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $158.49 | $724.44 | $2,187.76 |