| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $1,318.26 | $6,606.93 | |
BCBS
| Facility | $707.95 | $1,230.27 | $1,737.80 | |
Cigna
| Facility | $398.11 | $588.84 | $977.24 | |
Hally Health
| Professional | $128.82 | $776.25 | $1,479.11 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $776.25 | $2,187.76 | $4,570.88 |