| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.77 | $1,835.00 | $5,091.00 | |
BCBS
| Facility | $1,562.30 | $3,456.01 | $7,432.80 | |
Cigna
| Facility | $400.00 | $643.00 | $1,681.46 | |
Hally Health
| Professional | $412.67 | $623.32 | $2,057.19 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |