| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.81 | $898.72 | $4,432.00 | |
Aetna
| Facility | 52 | $36.29 | $65.87 | $113.25 |
BCBS
| Facility | $396.02 | $847.12 | $1,696.35 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $92.23 | $178.03 | $380.13 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $900.00 | $3,606.00 |