| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.11 | $1,842.00 | $4,961.00 | |
BCBS
| Facility | $2,148.19 | $6,123.99 | $10,472.14 | |
Cigna
| Facility | $400.00 | $785.00 | $7,820.83 | |
Hally Health
| Professional | $448.18 | $1,570.79 | $3,539.12 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $1,172.00 | $4,530.00 | $8,168.00 |