| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.11 | $1,139.18 | $4,634.00 | |
BCBS
| Facility | $679.31 | $1,480.80 | $2,965.30 | |
Cigna
| Facility | $228.18 | $587.00 | $908.00 | |
Hally Health
| Professional | $181.06 | $666.84 | $1,594.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $204.00 | $891.00 | $3,399.00 |