| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $1,862.09 | $5,623.41 | |
BCBS
| Facility | $1,047.13 | $2,344.23 | $3,388.44 | |
Cigna
| Facility | $398.11 | $398.11 | $588.84 | |
Hally Health
| Professional | $263.03 | $1,318.26 | $1,905.46 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,677.35 |