| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.00 | $2,576.00 | $8,300.66 | |
BCBS
| Facility | $2,718.83 | $6,979.70 | $9,913.41 | |
Cigna
| Facility | $400.00 | $785.00 | $8,016.05 | |
Hally Health
| Professional | $565.29 | $5,121.16 | $7,096.97 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,400.00 | $6,920.00 | $16,667.00 |