| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.00 | $2,989.00 | $7,450.00 | |
BCBS
| Facility | $6,681.94 | $14,507.87 | $25,592.53 | |
Cigna
| Facility | $400.00 | $875.00 | $9,526.64 | |
Hally Health
| Professional | $1,274.42 | $2,022.86 | $5,383.65 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,575.00 | $7,253.00 | $14,572.00 |