| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.68 | $1,842.00 | $5,389.00 | |
BCBS
| Facility | $922.19 | $2,274.07 | $3,346.64 | |
Cigna
| Facility | $161.56 | $643.00 | $1,681.46 | |
Hally Health
| Professional | $163.55 | $237.89 | $1,017.44 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,685.00 | $4,978.14 |