| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.39 | $1,379.00 | $5,389.00 | |
BCBS
| Facility | $505.97 | $1,391.35 | $3,236.71 | |
Cigna
| Facility | $463.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $160.85 | $237.84 | $926.90 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |