| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.96 | $2,461.63 | $6,504.75 | |
BCBS
| Facility | $1,179.36 | $2,610.23 | $4,345.39 | |
Cigna
| Facility | $450.00 | $785.00 | $4,506.00 | |
Hally Health
| Professional | $258.20 | $375.57 | $1,402.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,685.00 | $4,978.14 |