| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.00 | $5,091.00 | $9,691.00 | |
BCBS
| Facility | $2,972.56 | $6,818.57 | $48,303.84 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $345.90 | $559.90 | $1,686.51 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,570.00 | $16,498.00 | $44,061.00 |