| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.00 | $2,150.85 | $5,549.00 | |
BCBS
| Facility | $6,005.91 | $12,846.88 | $25,725.87 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $1,150.56 | $1,786.17 | $4,718.39 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |