| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.50 | $2,989.00 | $7,500.00 | |
BCBS
| Facility | $4,278.92 | $9,815.12 | $32,404.66 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $494.64 | $794.36 | $2,487.78 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,035.00 | $11,750.00 | $42,495.00 |