| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.24 | $2,157.00 | $8,985.00 | |
BCBS
| Facility | $3,889.58 | $6,290.98 | $12,936.69 | |
Cigna
| Facility | $709.00 | $3,430.33 | $10,111.00 | |
Hally Health
| Professional | $633.76 | $932.00 | $3,406.14 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,600.00 | $4,530.00 | $8,566.00 |