| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.91 | $1,835.00 | $5,389.00 | |
BCBS
| Facility | $1,240.77 | $2,175.50 | $5,903.09 | |
Cigna
| Facility | $400.00 | $1,087.17 | $2,769.00 | |
Hally Health
| Professional | $338.68 | $503.31 | $1,711.67 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |