| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $2,137.96 | $7,762.47 | |
BCBS
| Facility | $1,047.13 | $2,398.83 | $3,388.44 | |
Cigna
| Facility | $398.11 | $588.84 | $1,380.38 | |
Hally Health
| Professional | $275.42 | $1,230.27 | $2,511.89 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $891.25 | $2,238.72 | $4,677.35 |