| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,158.00 | $3,073.00 | $8,089.00 | |
BCBS
| Facility | $8,357.66 | $17,877.36 | $35,799.41 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,590.70 | $2,564.94 | $5,671.87 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |