| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $2,344.23 | $8,511.38 | |
BCBS
| Facility | $1,348.96 | $3,630.78 | $6,918.31 | |
Cigna
| Facility | $8,511.38 | $17,378.01 | $17,378.01 | |
Hally Health
| Professional | $281.84 | $1,659.59 | $2,570.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,659.59 | $6,918.31 | $14,454.40 |