| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.91 | $2,989.00 | $7,723.00 | |
BCBS
| Facility | $712.17 | $1,523.36 | $3,050.52 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $142.11 | $225.07 | $707.15 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |