| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.82 | $1,842.00 | $9,691.00 | |
BCBS
| Facility | $1,267.10 | $2,710.40 | $5,427.57 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $249.65 | $385.82 | $1,516.81 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |