| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $1,731.00 | $5,389.00 | |
BCBS
| Facility | $3,624.47 | $7,708.25 | $11,074.36 | |
Cigna
| Facility | $400.00 | $785.00 | $5,676.58 | |
Hally Health
| Professional | $590.36 | $934.96 | $2,874.47 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,098.00 | $3,951.00 | $6,482.00 |