| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.27 | $1,289.00 | $5,389.00 | |
BCBS
| Facility | $462.86 | $990.08 | $1,982.63 | |
Cigna
| Facility | $875.00 | $7,701.00 | $11,011.00 | |
Hally Health
| Professional | $85.22 | $130.07 | $358.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |