| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.13 | $1,289.00 | $5,091.00 | |
BCBS
| Facility | $736.18 | $1,597.84 | $2,639.52 | |
Cigna
| Facility | $463.00 | $463.00 | $480.00 | |
Hally Health
| Professional | $82.54 | $393.29 | $570.67 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $553.00 | $1,900.00 | $4,342.00 |