| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $1,907.23 | $5,549.00 | |
BCBS
| Facility | $6,480.26 | $9,910.50 | $20,375.54 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,015.33 | $1,579.97 | $4,202.29 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,602.00 | $7,612.00 | $14,716.00 |