| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,014.12 | $2,095.00 | $5,393.00 | |
BCBS
| Facility | $6,667.78 | $14,262.64 | $28,560.93 | |
Cigna
| Facility | $875.00 | $875.00 | $908.00 | |
Hally Health
| Professional | $863.71 | $1,395.99 | $3,862.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $578.00 | $2,873.00 | $7,384.00 |