| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $3,090.30 | $7,762.47 | |
BCBS
| Facility | $1,258.93 | $2,754.23 | $3,890.45 | |
Cigna
| Facility | $398.11 | $1,698.24 | $2,754.23 | |
Hally Health
| Professional | $251.19 | $741.31 | $1,621.81 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,786.30 |