| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.56 | $1,365.00 | $5,091.00 | |
BCBS
| Facility | $668.01 | $1,268.22 | $2,237.19 | |
Cigna
| Facility | $300.00 | $840.71 | $2,769.00 | |
Hally Health
| Professional | $131.76 | $192.64 | $746.02 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |