| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,061.00 | $2,900.00 | $5,393.00 | |
BCBS
| Facility | $11,017.63 | $24,016.64 | $48,093.32 | |
Cigna
| Facility | $400.00 | $785.00 | $2,393.94 | |
Hally Health
| Professional | $2,267.46 | $3,522.99 | $10,080.73 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $557.00 | $2,873.00 | $6,625.00 |