| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.38 | $1,124.32 | $5,091.00 | |
BCBS
| Facility | $616.07 | $1,236.08 | $1,856.11 | |
Cigna
| Facility | $161.57 | $785.00 | $979.50 | |
Hally Health
| Professional | $128.69 | $647.24 | $1,273.71 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |