| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.67 | $1,882.00 | $5,091.00 | |
BCBS
| Facility | $1,179.36 | $2,630.56 | $4,640.43 | |
Cigna
| Facility | $269.16 | $643.00 | $1,681.46 | |
Hally Health
| Professional | $272.61 | $391.06 | $1,461.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |