| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $2,290.87 | $5,888.44 | |
BCBS
| Facility | $1,047.13 | $1,737.80 | $4,265.80 | |
Cigna
| Facility | $398.11 | $1,698.24 | $2,754.23 | |
Hally Health
| Professional | $281.84 | $758.58 | $1,737.80 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,570.88 |