| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.13 | $1,652.67 | $4,961.00 | |
BCBS
| Facility | $966.64 | $2,229.44 | $3,732.86 | |
Cigna
| Facility | $328.18 | $785.00 | $1,378.17 | |
Hally Health
| Professional | $260.26 | $1,159.84 | $1,730.50 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $815.00 | $2,588.00 | $4,780.00 |