| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.90 | $2,118.00 | $5,389.00 | |
BCBS
| Facility | $1,862.59 | $4,042.68 | $11,762.27 | |
Cigna
| Facility | $875.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $261.23 | $1,919.46 | $4,246.77 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,152.00 | $4,803.00 | $8,995.00 |