| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.01 | $1,609.00 | $5,405.00 | |
BCBS
| Facility | $1,693.92 | $3,623.36 | $7,255.77 | |
Cigna
| Facility | $875.00 | $17,512.00 | $17,526.00 | |
Hally Health
| Professional | $291.93 | $1,645.04 | $2,595.06 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,520.00 | $7,400.00 | $14,716.00 |