| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.09 | $1,272.00 | $5,091.00 | |
BCBS
| Facility | $842.74 | $1,829.14 | $2,639.52 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $91.35 | $255.86 | $713.77 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $660.00 | $1,703.00 | $4,256.00 |