| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $2,187.76 | $5,623.41 | |
BCBS
| Facility | $3,162.28 | $7,585.78 | $9,549.93 | |
Cigna
| Facility | $691.83 | $691.83 | $3,981.07 | |
Hally Health
| Professional | $478.63 | $2,630.27 | $4,168.69 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,570.40 | $6,165.95 | $14,791.08 |