| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.98 | $1,305.00 | $4,961.00 | |
BCBS
| Facility | $295.87 | $632.88 | $1,267.33 | |
Cigna
| Facility | $620.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $64.45 | $100.30 | $336.84 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |