| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.48 | $1,326.00 | $5,389.00 | |
BCBS
| Facility | $678.13 | $1,450.56 | $2,904.74 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $135.27 | $214.24 | $620.08 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $900.00 | $3,686.00 |