| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $923.00 | $2,157.00 | $19,681.02 | |
BCBS
| Facility | $5,011.16 | $11,494.75 | $54,477.25 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $580.52 | $932.15 | $2,765.95 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,570.00 | $23,725.00 | $68,049.00 |