| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $2,290.87 | $5,623.41 | |
BCBS
| Facility | $724.44 | $1,348.96 | $1,905.46 | |
Cigna
| Facility | $302.00 | $1,698.24 | $2,754.23 | |
Hally Health
| Professional | $128.82 | $223.87 | $831.76 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $758.58 | $2,187.76 | $4,570.88 |