| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $1,289.00 | $5,091.00 | |
BCBS
| Facility | $146.46 | $376.00 | $558.32 | |
Cigna
| Facility | $24.74 | $500.00 | $1,000.00 | |
Hally Health
| Professional | $25.00 | $37.28 | $221.84 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $891.00 | $3,399.00 |