| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $2,344.23 | $8,317.64 | |
BCBS
| Facility | $1,258.93 | $2,754.23 | $4,365.16 | |
Cigna
| Facility | $398.11 | $2,511.89 | $2,754.23 | |
Hally Health
| Professional | $288.40 | $794.33 | $1,445.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,786.30 |