| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.12 | $1,055.00 | $5,091.00 | |
BCBS
| Facility | $604.11 | $882.95 | $1,405.34 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $80.81 | $131.88 | $311.73 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $515.60 | $1,481.00 | $4,256.00 |