| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $1,621.81 | $5,623.41 | |
BCBS
| Facility | $575.44 | $1,548.82 | $3,019.95 | |
Cigna
| Facility | $398.11 | $398.11 | $588.84 | |
Hally Health
| Professional | $190.55 | $645.65 | $1,659.59 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $154.88 | $831.76 | $2,344.23 |