| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.00 | $2,368.00 | $8,482.34 | |
BCBS
| Facility | $2,795.61 | $6,997.97 | $10,145.28 | |
Cigna
| Facility | $400.00 | $785.00 | $7,372.60 | |
Hally Health
| Professional | $583.53 | $5,415.18 | $8,426.77 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,400.00 | $6,920.00 | $16,667.00 |