| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.42 | $1,694.00 | $5,389.00 | |
BCBS
| Facility | $2,011.85 | $4,563.28 | $11,762.27 | |
Cigna
| Facility | $875.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $230.19 | $345.40 | $967.06 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,152.00 | $4,803.00 | $8,995.00 |