| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $1,905.46 | $5,888.44 | |
BCBS
| Facility | $2,290.87 | $8,912.51 | $12,022.64 | |
Cigna
| Facility | $6,309.57 | $7,762.47 | $10,964.78 | |
Hally Health
| Professional | $208.93 | $338.84 | $1,047.13 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,584.89 | $5,495.41 | $9,772.37 |