| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.13 | $1,471.00 | $4,611.50 | |
BCBS
| Facility | $1,239.00 | $2,317.26 | $3,732.86 | |
Cigna
| Facility | $328.70 | $587.00 | $908.00 | |
Hally Health
| Professional | $260.67 | $1,167.32 | $1,744.57 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |