| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.94 | $1,494.50 | $5,091.00 | |
BCBS
| Facility | $374.74 | $801.60 | $1,605.20 | |
Cigna
| Facility | $620.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $84.42 | $126.63 | $368.68 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $900.00 | $3,606.00 |